后鼻神经神经溶解除了慢性鼻炎患者下层轮的射频废除外,还可用于慢性鼻炎患者
Chien-Yu Huang1,2, Jyun-Yi Liao3, Han-Lo Teng3
1Department of Otolaryngology, Head and Neck Surgery, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan, skyf16@gmail.com.
ORL; journal for oto-rhino-laryngology and its related specialties
|January 14, 2025
概括
与后鼻神经神经溶解 (RPN3) 结合下层轮的射频切除,与单独的RFIT相比,为慢性鼻炎提供了更好的症状控制. 这种联合治疗显著缓解了严重的鼻塞和鼻.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 最少侵入性的手术
- 鼻科 鼻科是指鼻科的专家.
背景情况:
- 慢性鼻炎通常伴有持续的鼻塞和鼻.
- 药理疗法并不总是对所有患者有效.
- 下层轮管 (RFIT) 的射频切除是鼻腔阻塞的常见治疗方法.
研究的目的:
- 为了比较下层轮的射频废除与后鼻神经神经溶解 (RPN3) 结合的疗效,与单独的RFIT相比.
- 为了评估慢性鼻炎患者的治疗结果,耐医疗管理.
主要方法:
- 一项回顾性队列研究包括患有慢性鼻炎和药物反应不佳的患者.
- 纳入标准:24小时反射总鼻腔症状评分 (rTNSS) ≥5,鼻评分≥2,堵塞评分≥2.
- 评估的结果包括rTNSS的变化,鼻腔阻塞症状评估 (NOSE) 评分和响应率 (rTNSS改善≥30%).
主要成果:
- 单独使用RPN3和RFIT都显著改善了rTNSS和NOSE分数 (p < 0.001).
- 在3个月后,RPN3显示了统计学上显著的优异结果,与单独使用RFIT相比 (p < 0.05).
- 在RPN3组3个月后实现了98%的响应率.
结论:
- RPN3有效地缓解慢性鼻炎症状,包括严重的鼻和鼻塞.
- RPN3显示出比单独使用RFIT更高的症状控制率.
- RPN3代表了耐火性慢性鼻炎的有前途的治疗选择.
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