过敏性鼻炎的外科干预:塞满与打喷流鼻:
D Jayapriya1, T C Vikram Raj Mohanam1, Mary Kurien2
1Department of ENT, Aarupadai Veedu Medical College, Puducherry, India.
概括
对于成年过敏性鼻炎患者而言,他们对医疗治疗没有反应,像轮减少这样的手术可以显著改善症状. 鼻腔阻塞是这些耐火病例中手术候选人的关键指标.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 过敏和免疫学 过敏和免疫学
背景情况:
- 过敏性鼻炎通常伴有打喷和鼻,但也可能导致持续的鼻腔阻塞.
- 医疗管理是第一线治疗,但有一部分患者仍然不耐药.
研究的目的:
- 确定成年过敏性鼻炎患者中对药物治疗无反应的比例.
- 评估那些患有较低轮缩症的人的外科治疗结果.
- 为了确定手术候选人的临床指标.
主要方法:
- 一项针对393名成年过敏性鼻炎患者的前性研究.
- 鉴定医疗不响应者和分析手术干预结果.
- 通过血管缩反应评估较低轮增高.
主要成果:
- 21%的患者对药物治疗不耐药,主要是鼻腔阻塞.
- 在所有手术候选人中都存在下轮缩.
- 粘膜下轮整形 (切除或减少) 导致SNOT得分显著降低.
- 观察到早期的术后皮层,特别是在软组织减少和血栓形成方面.
结论:
- 成年人过敏性鼻炎与主要的鼻腔阻塞,特别是当慢性时,表明较低的轮缩和潜在的医疗折射性.
- 桌上血管收缩剂反应可靠地预测所需的亚粘膜下层轮塑性手术类型 (切除与减少).
- 手术干预为精心挑选的患者提供了显著的症状缓解.
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