在慢性鼻炎中内镜鼻手术的范围:系统性审查和元分析
Thinh Tran1,2,3, Phillip Staibano4,5, Kornkiat Snidvongs6,7
1Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Current allergy and asthma reports
|September 9, 2024
概括
对于慢性鼻炎 (CRS) 的内镜鼻手术 (ESS) 的更大程度通常会导致更好的患者结果和症状缓解. 所有的手术扩展都显示出可比的安全性,而术后并发症没有显著差异.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 鼻科 鼻科是指鼻科的专家.
背景情况:
- 慢性鼻炎 (CRS) 的管理仍然是一个挑战,与不同的手术方法.
- 不同的内镜外科手术 (ESS) 对CRS结果的影响需要进一步澄清.
研究的目的:
- 为了比较有限,全屋,扩展和激进ESS在管理CRS方面的有效性.
- 通过手术干预,优化慢性鼻炎患者的治疗结果.
主要方法:
- 按照PRISMA指南进行了系统的文献搜索.
- 使用元分析,从46项符合条件的研究中汇集了数据.
- 分析了包括SNOT-22分数,内镜结果和并发症率在内的结果.
主要成果:
- 与有限的ESS相比,全屋ESS在SNOT-22和内镜分数中表现出了卓越的改善.
- 激进的ESS提供了更大的鼻腔症状改善和减少复发,而不是全屋ESS.
- 与全院ESS相比,扩展ESS降低了修复手术的发生率,而在所有范围内的术后并发症中没有显著差异.
结论:
- 增加ESS的程度通常与CRS管理中改善的患者结果相关.
- 所有评估的ESS范围都与可接受的安全配置文件相关.
- 定制ESS范围可以优化症状缓解,并降低CRS患者的修订率.
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