带有鼻的慢性鼻炎:手术5年后复发的预测因素
Pedro Marques Gomes1, Diogo Cunha Cabral1, Joana Barreto1
1Department of Otorhinolaryngology, Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos, Porto, Portugal.
Acta oto-laryngologica
|November 15, 2024
概括
对于带有鼻的慢性鼻炎的内镜鼻手术后的复发是常见的. 喘,额头鼻问题和高胆固醇细胞计数预测结果不佳.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术结果研究研究
背景情况:
- 带鼻息肉的慢性鼻鼻炎 (CRSwNP) 呈现持续的炎症和息肉形成.
- 内镜外科手术 (ESS) 是一种常见的治疗方法,但结果各不相同,复发率在5%到60%之间.
研究的目的:
- 为了评估ESS在CRSwNP患者的结果.
- 确定复发和需要修复手术的独立预测因素.
主要方法:
- 对130名接受ESS治疗的CRSwNP患者进行了回顾性横截面研究,随访至少60个月.
- 使用多变量和回归分析来确定复发和修复手术的预测因素.
主要成果:
- 5年复发率为35.4%,17.7%的患者需要修复手术.
- 复发和修复手术的预测因素包括喘,额头鼻卷入,隆德-麦凯得分,内镜鼻多得分和外周血液异敏症.
结论:
- 喘,额头鼻干扰,周围血液中高性氨酸,以及较高的LM和NPS得分与接受ESS的CRSwNP患者的预后不佳有关.
- 这些因素可以帮助预测结果,并指导CRSwNP的治疗策略.
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