中间轮切除与在患有慢性多性鼻炎的患者进行内镜鼻手术时的保存
Mojtaba Meybodian1, Mohammad Mandegari1, Mohammadhossein Baradaranfar1
1Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
概括
对于慢性多重性鼻炎的内镜鼻手术 (ESS) 中的中间轮切除在患者结局上没有显著差异. 然而,切除组经历了更好的生活质量和鼻塞改善,这表明这是一个安全和推的选择.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 手术创新 在外科创新.
背景情况:
- 慢性多性鼻炎往往需要进行内镜性鼻手术 (ESS).
- 在ESS期间中间轮机管理的作用仍然是临床辩论的主题.
- 评估中间轮切除与保存的影响对于优化手术结果至关重要.
研究的目的:
- 为了比较ESS接受慢性多重性鼻炎患者中部分中间轮切除与保存的结果.
- 评估对生活质量,嗅觉功能和鼻塞的影响.
主要方法:
- 一项临床试验涉及105名患有慢性多重性鼻炎的患者,接受ESS.
- 患者被分为两组:一组接受ESS与部分中间轮切除,一组仅接受ESS的对照组.
- 包括Sino-Nasal Outcome Test (SNOT-22) 评分,Lund-Mackay CT评分,生活质量,气味状况和鼻塞等结果在手术前和手术后6个月被评估.
主要成果:
- 切除和保存组之间的整体生活质量得分没有统计学上显著的差异 (p > 0.05).
- 两组患者在手术前后都显著改善了生活质量 (p=0.03用于保存,p=0.001用于切除).
- 两组之间在减少气味或鼻塞方面没有发现显著差异 (p > 0.05).
结论:
- 对于慢性多重性鼻炎,ESS期间的中间轮切除或保存不会显著影响患者的整体结果.
- 虽然没有统计学意义,切除组显示出更好的生活质量和改善鼻塞的趋势.
- 在ESS中可以安全地推部分中间轮切除,而无需担心增加并发症.
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