儿科慢性鼻炎的临床特征:全国性的回顾性多中心研究
Donghyeok Kim1, Gwanghui Ryu1, Sang Duk Hong1
1Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
功能性内镜外科手术 (FESS) 改善了儿科慢性鼻炎 (CRS) 症状和生活质量. 老年和不太严重的疾病与FESS后儿童CRS的更好的结果相关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 鼻科 鼻科是指鼻科的专家.
背景情况:
- 儿童慢性鼻炎 (CRS) 对儿童的生活质量和学习有重大影响.
- 功能性内镜外科手术 (FESS) 是一种常见的CRS治疗方法.
研究的目的:
- 为了评估手术后的结果,儿科患者接受FESS进行CRS.
- 为了确定与FESS后成功控制症状相关的因素.
主要方法:
- 对213名患有双边CRS的儿科患者 (20岁以下) 进行了回顾性审查.
- 数据包括人口统计,病史,CT扫描和症状控制.
- 使用克鲁斯卡尔-瓦利斯和费舍尔精确测试进行统计分析.
主要成果:
- FESS显著缓解了鼻腔阻塞和鼻等症状,长达3年 (p<0.001).
- 总体而言,56.8%的患者实现了控制症状,37.6%部分控制,5.6%不受控制.
- 较高的隆德-麦凯得分,更长的随访和修复手术与不受控制的症状有关. 年龄较大 (≥16岁) 与更好的结局相关.
结论:
- FESS有效改善儿科CRS患者的术后症状和长期生活质量.
- 高龄和较低的疾病负担 (较低的隆德-麦凯得分) 与FESS后更好的症状控制有关.
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