[一个患有异鼻性粒状瘤的病例,伴有多炎,伴有鼻炎,经内镜鼻手术控制]
Ryoji Kagoya1, Kana Nanjo1, Saeko Yamada2
1Department of Otorhinolaryngology-Head and Neck Surgery, Graduate School of Medicine, The University of Tokyo.
Arerugi = [Allergy]
|December 15, 2024
概括
内镜外科手术 (ESS) 有效治疗了慢性鼻炎在患有多炎 (EGPA) 带有异性细粒瘤症的患者. 这种方法解决了鼻和嗅觉功能障碍,为EGPA相关的鼻并发症提供了有前途的治疗选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 类风湿病学 类风湿病学
- 免疫学 免疫学 免疫学
背景情况:
- 带有多胞膜炎的eosinophilic granulomatosis (EGPA) 是一种以eosinophilia和多器官参与为特征的全身性血管炎.
- 鼻炎,特别是鼻,是EGPA患者常见的表现.
- 在EGPA中,标准的医疗治疗可能并不总能消除严重的鼻症状.
研究的目的:
- 报告一个EGPA病例与耐火性鼻炎.
- 评估内镜鼻手术 (ESS) 在治疗EGPA相关鼻炎方面的疗效.
- 评估ESS在这个患者群体中的长期结果.
主要方法:
- 一名49岁的男性患者被诊断患有EGPA和支气管喘,接受了普雷迪尼索隆和梅波利祖马布的治疗.
- 尽管初始治疗,患者发展恶化的鼻炎与鼻和嗅觉障碍.
- 由于缺乏对局部贝他他的反应,进行了内镜鼻手术 (ESS).
主要成果:
- 在ESS之后,患者在鼻炎症状方面经历了显著改善.
- 嗅觉功能得到恢复,鼻息肉在手术后得到解决.
- 在一年的随访中,鼻炎或嗅觉障碍没有复发.
结论:
- 透视性鼻手术 (ESS) 可以成为耐火性鼻炎的有效治疗方法,在患有多炎 (EGPA) 带有埃索诺菲尔粒状瘤症 (EGPA) 的患者中.
- 在EGPA中,ESS提供了一个潜在的外科手术解决方案,用于在EGPA中不响应医疗管理的鼻腔并发症.
- 这一案例凸显了在EGPA患者持续性鼻炎中考虑手术干预的重要性.
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