在慢性鼻炎的内镜鼻手术后的并发症率
Ravi Dhamija1, Nikita Das1, Peng Ding2
1Case Western Reserve University School of Medicine, Cleveland, Ohio.
American journal of rhinology & allergy
|January 30, 2025
概括
慢性鼻炎的内镜鼻手术 (ESS) 是安全的,但并发症很少. 男性的出血风险比女性高,而骨底部和轨道并发症并不常见.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 眼科医生 眼科 眼科
背景情况:
- 透镜鼻手术 (ESS) 是慢性鼻炎 (CRS) 的关键治疗方法,它对药物无反应.
- 了解潜在的并发症对于患者安全和知情同意至关重要.
研究的目的:
- 量化ESS后骨底部,轨道和出血并发症的发生率.
- 为了比较性别之间的并发症风险.
主要方法:
- 在20年内对超过116,000名接受ESS治疗的患者进行了回顾性分析.
- 利用TrinetX平台进行数据提取和结果分析.
- 卡普兰-梅尔分析评估了没有并发症的生存概率.
主要成果:
- 30天内整体并发症发生率:骨底部 (0.212%),轨道 (0.741%),出血 (3.00%).
- 从并发症的生存概率:头骨底部 (99.783%),轨道 (99.260%),出血 (96.903%).
- 男人患出血并发症的风险更高 (3.2%对2.8%,P<.0001).
结论:
- ESS是一种安全有效的CRS管理程序.
- 尽管罕见,但出血并发症比头骨底部或轨道问题更频繁.
- 在男性中,出血并发症的风险较高,为患者咨询提供信息.
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