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日本过敏性鼻炎的神经切除术:日益增长的趋势和外科医生偏好

Seiichiro Makihara¹, Kei Hosoya², Kensuke Uraguchi³

¹Department of Otolaryngology-Head & Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.

Auris, nasus, larynx

|July 28, 2024

概括

在日本,过敏性鼻炎 (AR) 的手术治疗正在转向微创技术,如外围分支神经切除术. 然而,建议小儿科和老年患者谨慎考虑.

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
医疗保健服务研究医疗服务研究

背景情况:

对过敏性鼻炎 (AR) 的最佳手术技术缺乏共识.
在AR的儿科和老年人群中,手术干预的适当性受到辩论.

研究的目的:

分析日本AR手术管理的趋势.
专注于副交感神经切除模式.
调查AR手术的年龄特定考虑因素.

主要方法:

从2014年4月到2022年3月使用了日本国家健康保险索赔数据库 (NDB).
对日本耳鼻喉科医生进行了关于手术实践的横截面调查.
分析了神经切除手术的趋势和外科医生的偏好.

主要成果:

观察到神经切除术的增加趋势,主要在25-29岁年龄组.
后鼻神经的外围分支神经切除术是首选的方法 (58.2%的外科医生).
大多数外科医生 (51.2%) 认为18岁以下的患者不适合进行这些手术.

结论:

趋向于更简单,最少侵入性的AR手术,如外围分支神经切除术在日本是显而易见的.
需要进一步的研究来确定长期的结果和优化手术技术.
针对年龄的具体方法对于儿科和老年AR患者至关重要.

关键词:

过敏性鼻炎是一种过敏性鼻炎.日本日本日本日本日本.国家数据库国家数据库.神经切除术是一种神经切除术.副交感神经是一种神经.外科手术的管理.

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