对患有血液病的患者慢性性中耳炎的手术干预的评估
Ai Wang1, Qingfeng Li1, Hongwei Zheng2
1Department of Otorhinolaryngology-Head and Neck Surgery, the second hospital of Shanxi Medical University, Taiyuan, PR China.
Acta oto-laryngologica
|March 31, 2025
概括
在患有血液病的患者中,治疗慢性支性中耳炎 (CSOM) 的手术是安全有效的. 这种方法可以改善患者的治疗结果,并支持血液治疗.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 血液学 血液学 血液学
- 手术瘤学手术瘤学
背景情况:
- 慢性性中耳炎 (CSOM) 在患有血液病的患者中构成挑战.
- 化学疗法和血液病的免疫抑制可以使CSOM管理复杂化.
研究的目的:
- 评估血液恶性瘤患者中CSOM手术干预的安全性和有效性.
- 为了确定手术治疗对患者结果和血液恢复的影响.
主要方法:
- 对26名接受手术的CSOM和血液病患者的回顾性分析.
- 患者接受了手术前的化疗;手术指示包括复发性感染或计划的干细胞移植.
- 手术程序是根据病变的程度和手术内发现的结果进行量身定制的.
主要成果:
- 所有手术在技术上都是成功的,血流量最小 (<20毫升),并没有直接的并发症.
- 手术的平均持续时间为70.5分钟;平均住院时间为9天.
- 在随访期间观察到一个CSOM复发和一个由于血液病进展的死亡率.
结论:
- 在患有血液病的患者中,手术治疗CSOM是一种安全有效的治疗选择.
- 手术干预可以改善临床结果,并促进持续的血液治疗.
- 这种方法支持复杂病史患者的整体管理策略.
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