儿童和成人慢性鼻炎的并发症
Aada Murtomäki1,2, Alma Helevä1,3, Paulus Torkki4
1Inflammation Center, Skin and Allergy Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Clinical and translational allergy
|April 24, 2024
概括
慢性鼻炎 (CRS) 的并发症和手术程序在儿科和成人患者之间有所不同. 过敏和桃体疾病在儿童中更常见,他们也进行了更多的额外手术. 在两组中均使用了内镜鼻手术 (ESS).
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科耳鼻喉科 儿科耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
背景情况:
- 慢性鼻炎 (CRS) 是鼻腔通道和鼻的持续性炎症.
- CRS可以表现为 (CRSwNP) 或没有 (CRSsNP) 鼻.
- 了解儿科与成人群体的相关疾病和治疗方法至关重要.
研究的目的:
- 为了比较儿科和成人患者中CRS的并发症和手术干预.
- 确定与修订内镜外科手术 (ESS) 相关的因素.
主要方法:
- 对1461名鼻炎患者 (0-89岁) 的医院注册数据的回顾性分析.
- 用ICD-10代码和关键字搜索从电子健康记录中收集的数据.
- 儿科和成人队列之间的并发症和外科手术的比较.
主要成果:
- 儿科CRS患者主要是CRSsNP (86%),而成年人的CRSwNP比例更高 (40%).
- 相关疾病的显著差异包括过敏,慢性中耳炎和儿童桃体疾病的更高患病率.
- 透视鼻手术 (ESS) 的发生率相似,但儿童接受的额外耳朵,鼻子和喉手术更多.
结论:
- 儿科和成人CRS患者之间的并发症显著不同.
- 虽然ESS的利用率相似,但儿科患者需要更多的二次手术.
- 建议对成年多病症患者进行ESS有效性的个别评估.
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