使用NOSE和SNOT-22问卷对传统与内镜鼻腔整形术的结果评估
Arpit Saxena1, Danish Ahmad Khan1, Md Anas2
1Department of ENT, Dr. B.S. Kushwah Institute of Medical Sciences, Kanpur, Uttar Pradesh India.
概括
与传统手术相比,内镜隔膜整形显示出改善的症状缓解和较少的鼻腔隔膜偏差并发症. 虽然这两种方法都提高了生活质量,但内镜方法导致了更高的患者满意度.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 患者报告的结果
背景情况:
- 鼻隔膜偏差 (NSD) 导致鼻腔阻塞,影响生活质量.
- 血管整形是NSD的标准手术纠正.
- 传统的 (开放式) 和内镜式 (最小侵入性) 血清整形技术的有效性进行了比较.
研究的目的:
- 为了比较常规与内镜分管术的临床和患者报告的结果.
- 用鼻腔阻塞症状评估 (NOSE) 和22项中鼻结局测试 (SNOT-22) 问卷来评估症状严重程度.
主要方法:
- 一项对120名患有症状NSD的成年患者进行前性比较研究.
- 60名患者接受了传统的血栓整形,60名患者接受了内镜血栓整形.
- 鼻子和SNOT-22得分在手术前和手术后的1,3,6个月被评估.
主要成果:
- 这两种技术都显著改善了NOSE和SNOT-22分数 (p < 0.001).
- 内镜分体整形证明了略有改善症状缓解和更少的并发症.
- 在6个月内进行内镜分管整形后,患者满意度更高,尽管传统组的手术时间更长.
结论:
- 无论是常规的还是内镜式的血管整形都有效地治疗鼻腔阻塞和鼻症状.
- 内镜分管整形可能在减少并发症和提高患者满意度方面提供优势.
- 建议进一步进行大规模的长期研究,以证实发现并指导外科选择.
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