预测因素和慢性鼻炎复发的时间间隔 在内镜鼻手术后复发
Abdulaziz K Alaraifi1,2, Butoul Alanizy2,3, Shmokh Alsalamah2,3
1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Turkish archives of otorhinolaryngology
|May 24, 2024
概括
慢性鼻炎 (CRS) 在内镜外科手术 (ESS) 后经常复发. 高隆德 - 麦凯分数和乙酸细胞计数是CRS复发的关键预测因素,通常需要修复手术.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 炎症性疾病 炎症性疾病
- 外科手术的结果
背景情况:
- 慢性鼻炎 (CRS) 是一种普遍的炎症状况,影响患者的生活质量.
- 透镜鼻手术 (ESS) 是耐火性CRS的主要治疗方法.
- 了解CRS复发对于优化手术管理至关重要.
研究的目的:
- 为了确定CRS在ESS后复发的预测因素.
- 确定CRS复发和修订ESS的速度和时间间隔.
- 分析影响需要重复手术干预的因素.
主要方法:
- 对516名接受ESS治疗的CRS患者进行了回顾性队列研究.
- 手术后12-48个月的随访时间.
- 多变量后勤回归分析以确定复发预测因素.
主要成果:
- CRS复发率为14.5% (平均间隔为28.31个月).
- 复发性CRS的ESS修订率为6.8% (平均间隔为34.18个月).
- 高隆德 - 麦凯分数 (OR: 1.055) 和乙素细胞数 (OR: 3.619) 预测了复发.
- 46.7%的复发性CRS患者需要修复手术.
结论:
- 尽管ESS,但CRS复发是显著的,显著的比例需要修复手术.
- 升高的隆德 - 麦凯评分和乙酸细胞计数是CRS复发的重要危险因素.
- 这些发现有助于患者选择和CRS的管理策略.
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