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小儿急性鼻炎与轨道并发症的初始管理可以预测未来的结果吗? 一个队列研究研究

Elchanan Zloczower¹, Itay Pansky², Batel Lasry³

¹Department of Otorhinolaryngology, Head and Neck Surgery, Kaplan Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.

Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery

|May 21, 2025

概括

经过手术治疗的急性鼻炎 (ARS) 带有轨道并发症的儿童面临复发性ARS发作的更高风险,特别是在手术后的第一年内. 保守的管理往往是成功的,但手术病例需要对未来的ARS进行仔细的随访.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
儿科手术儿科手术
眼科医生眼科眼科

背景情况:

急性鼻炎 (ARS) 影响6%-8%的儿童,轨道并发症 (OC) 是最常见的严重问题.
保守和手术方法都对OC-ARS有效,治疗选择取决于临床表现和外科医生的专业知识.

研究的目的:

评估和比较儿科OC-ARS的保守与外科治疗的长期结果.
评估ARS和OC-ARS在5年期间不同治疗方式后的复发率.

主要方法:

在2002年至2019年期间被诊断患有OC-ARS的儿科患者 (<16岁) 的回顾性分析.
患者被分为保守和手术治疗组.
结果包括ARS复发,OC-ARS和随后的住院治疗/手术超过5年.

主要成果:

在213名儿童中,90.1%接受了保守的治疗,而9.9%接受了手术 (主要是内镜).
手术治疗的患者年龄较大,表现出更严重的症状 (proptosis,眼动障碍,更高的钱德勒得分).
在手术组中,复发性ARS的发病率明显高 (28.6%),相比于保守组 (8.3%).

结论:

大多数患有OC-ARS的儿童在没有长期后果的情况下完全康复.
需要为OC-ARS进行手术的儿科患者出现随后的ARS发作风险较高,特别是在干预后的第一年内.
长期监测对于接受手术治疗的儿童来管理潜在的ARS复发至关重要.

关键词:

轨道并发症轨道并发症儿科儿科儿科经常出现的鼻炎.鼻炎是指鼻炎的一种疾病.手术手术手术手术手术手术手术

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