慢性鼻炎的内镜鼻腔外科手术的结果与鼻多重症和第三级护理教学医院的复发风险因素
Ahmad Aldajani1,2, Ahmad Alroqi2, Ali Alrashidi2,3
1Department of Otorhinolaryngology Head & Neck Surgery, College of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
Therapeutic advances in allergy and rhinology
|September 9, 2024
概括
修复内镜外科手术 (RESS) 显示出比初级ESS更差的结果,喘和萨姆特三位一体是慢性鼻炎与鼻息肉复发的关键风险因素.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 慢性鼻炎研究 长期鼻炎研究
背景情况:
- 内镜外科手术 (ESS) 是慢性鼻炎 (CRS) 的标准治疗方法,对医疗治疗没有反应.
- 虽然通常是安全有效的,但初级ESS (PESS) 的故障率在2%到24%之间,需要修改ESS (RESS).
研究的目的:
- 评估CRS和鼻息肉 (CRSwNP) 的患者ESS的结果.
- 为了确定ESS后鼻息肉复发的风险因素.
- 为了比较PESS与RESS在第三级护理医院的结果.
主要方法:
- 在2015年5月至2021年12月期间,对CRSwNP的470个ESS程序进行了回顾性横截面研究.
- 使用SNOT-22,隆德-肯尼迪 (LK),隆德-麦凯 (LM) 评分,以及在手术前和手术后6-12个月的息肉分类.
- 在PESS (321名患者) 和RESS (149名患者) 之间比较结果.
主要成果:
- 与RESS患者相比,PESS患者的术后LK和LM得分明显改善.
- RESS患者报告的术后SNOT-22得分明显低于PESS患者.
- 喘,阿司匹林敏感性和萨姆特三位一体在RESS组中更为普遍.
结论:
- 无论是PESS还是RESS都能改善鼻治疗的结果,但PESS的效果更为优异.
- 喘,阿司匹林敏感性,萨姆特三位一体,高度的息肉和年龄较大是CRSwNP复发的危险因素,需要RESS.
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