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鼻腔呼吸道手术前后的内皮热成像鼻腔呼吸道手术

Kachorn Seresirikachorn^1,2,3,4,5, Lu Hui Png^1,5,6, Timothy Quy-Phong Do¹

¹Rhinology and Skull Base Research Group, St Vincent's Centre for Applied Medical Research, University of New South Wales, Sydney, Australia.

The Annals of otology, rhinology, and laryngology

|October 2, 2024

概括

鼻腔呼吸道手术改善了阻塞症状,但鼻内粘膜温度与症状改善没有显著相关. 需要进一步的研究来确定温度作为鼻腔阻塞的客观指标.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
医疗成像医学成像
外科手术的结果

背景情况:

鼻腔呼吸道手术旨在在其他治疗方法失败时缓解鼻腔阻塞.
手术后改善的气流并不总是与缓解症状相关.
鼻腔呼吸的感知可能与粘膜的温度变化有关,而不是空气流量或压力.

研究的目的:

使用内鼻热成像测量鼻气道手术前后的鼻内粘膜温度.
探索鼻内粘膜温度与鼻腔阻塞的主观/客观测量之间的相关性.

主要方法:

对接受鼻腔呼吸道手术的成年患者进行前性研究.
使用红外辐射测量热摄像头 (FILR VS290) 测量鼻内粘膜温度.
术前和术后的温度 (中期呼气/吸气) 与视觉模拟尺度 (VAS),鼻腔阻塞症状评估 (NOSE) 尺度和鼻腔气道阻力 (NAR) 的比较.

主要成果:

所有的NOSE,VAS和NAR分数在手术后显著改善 (p < .001对于NOSE/VAS,p = .002对于NAR).
鼻内粘膜温度和它们在吸入和 expiration 之间的差异在手术后没有显著变化.
温度和阻塞措施之间没有发现显著的相关性,除了整体气道温度差异和NOSE评分 (r = 0.57,p = .03) 之间的术前相关性外.

结论:

鼻内热成像可以评估鼻内粘膜温度.
目前的数据表明,粘膜体温度不是可靠的客观测量鼻阻塞手术前或后.
需要更精确的成像和数据采集来验证粘膜温度在临床环境中的作用.

关键词:

鼻气道手术鼻气道手术鼻子粘膜温度鼻子粘膜温度鼻腔堵塞鼻腔堵塞鼻腔堵塞鼻腔的通透性鼻腔的通透性热成像是一种热成像技术.

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