鼻后滴滴和鼻腔内镜:定位和与临床特征的关联
Jenilkumar H Patel1, Nicholas Mankowski1, Robbie A Beyl2
1Department of Otolaryngology Tulane University School of Medicine New Orleans Louisiana USA.
鼻腔内镜证实了大多数患者的鼻后滴水 (PND),揭示了粘液的位置和一致性. 特定的粘液发现与拥堵等症状和慢性鼻炎 (CRS) 等诊断相关.
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.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 鼻后滴水 (PND) 是一种普遍的症状,通常难以通过传统的检查方法进行诊断.
- 鼻腔内镜提供了直接可视化技术,以确认导致PND的粘液的存在和解剖位置.
研究的目的:
- 调查鼻腔内镜检查期间观察到的鼻后滴水 (PND) 的特定发现与其他临床指标之间的关联.
- 在鼻科实践环境中,将内镜粘液特征与患者报告的症状和确定的诊断相关联.
主要方法:
- 一项具有前性数据收集的横截面研究,涉及患有PND的成年患者.
- 进行了鼻腔内镜检查,以识别和描述粘液 (存在,位置:鼻腔底部,后部下部轮,中间介质,状隙;一致性:厚/薄).
- 收集的数据包括反流症状,鼻塞,低血症,鼻,症状,较低的轮增大,SNOT-22得分和诊断 (过敏性鼻炎,慢性鼻炎).
主要成果:
- 鼻腔内镜在94.9%报告PND的患者中发现了粘液.
- 中间状体/状体内的粘液与较高的SNOT-22分数 (≥50),慢性鼻炎 (CRS) 诊断,以及缺少下状体缩或过敏性鼻炎 (AR) 相相关.
- 鼻腔/下管粘液与鼻塞,鼻,症状,下管缩,AR和CRS缺失有关. 这些地区厚厚的粘液表明了反流症状.
结论:
- 大多数PND患者通过鼻腔内镜观察到异常粘液的后鼻排水.
- 鼻腔内镜是评估PND的宝贵工具,提供了粘液存在和特征的客观证据.
- 鼓励临床医生将鼻腔内镜整合到他们的PND诊断工作流程中,以改善患者评估.
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