慢性犀牛鼻炎与鼻的内镜鼻腔手术:复发的预测因素
Rachida Bouatay1,2, Nawres Bouaziz1, Mabrouk Abdelali2,3
1ENT and Head and Neck Surgery Department, Fattouma Bourguiba Hospital of Monastir, Monastir, Tunisia.
Ear, nose, & throat journal
|October 28, 2024
概括
长期鼻炎与鼻息肉 (CRSwNP) 的内镜鼻手术 (ESS) 是有效的,但复发率很高. 手术后对局部类固醇的坚持显著减少ESS后CRSwNP复发.
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
- 外科手术的结果
背景情况:
- 具有鼻息肉的慢性鼻炎 (CRSwNP) 显著影响生活质量.
- 透镜鼻手术 (ESS) 是一种常见的耐火性CRSwNP的治疗方法.
- 在CRSwNP的ESS之后,观察到高的复发和修订率.
研究的目的:
- 评估ESS在管理CRSwNP中的成果.
- 为了确定CRSwNP在ESS后复发的独立预测因素.
主要方法:
- 在2002年至2021年期间,对280名为CRSwNP接受ESS的患者进行了回顾性评估.
- 最低12个月的随访时间.
- 多变量分析以确定复发预测因子.
主要成果:
- 复发率为20.7% (58/280),其中8.9% (25/280) 需要修复手术.
- 喘 (36.4%) 和阿司匹林加重的呼吸道疾病 (16.8%) 是常见的并发症.
- 术后局部类固醇药物的不遵守是复发的重要预测因素 (OR = 16.056,P < .001).
结论:
- 对于CRSwNP,ESS是有效的,但复发仍然是一个问题.
- 术后使用局部类固醇对预防CRSwNP复发至关重要.
- 在ESS后坚持药物治疗可以改善CRSwNP患者的长期结果.
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