逆鼻瘤恶性转变的危险因素:系统性审查和元分析
Andrea Ambrosini-Spaltro1, Giulia Querzoli2,3, Anna Caterina Leucci4
1Pathology Unit, Morgagni-Pierantoni Hospital, AUSL Romagna, 47121 Forlì, Italy.
Cancers
|June 13, 2025
概括
吸烟和人类乳头瘤病毒 (HPV) 是鼻逆转乳头瘤 (IP) 恶性转变的重要危险因素. 对于受影响的个体,建议采取戒烟和HPV疫苗接种等干预措施.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 倒置乳头瘤 (IP) 是一种具有恶性潜力的良性鼻瘤.
- 了解恶性转变的风险因素对于患者管理至关重要.
研究的目的:
- 系统地审查和元分析与反转鼻瘤恶性转变相关的风险因素.
主要方法:
- 在PubMed和Embase数据库中进行了全面的搜索.
- 用纽卡斯尔-太华尺度 (NOS) 评估偏差风险,用GRADE评估证据质量.
- 用固定效应和随机效应模型对吸烟,酒精和HPV进行了元分析.
主要成果:
- 分析了26篇文章,包括1271例逆转乳头瘤病例,癌症发病率为18.1%.
- 吸烟 (p = 0.002) 和HPV (p < 0.001) 被确定为重要的危险因素.
- 酒精消费没有显示统计学意义 (p = 0.95).
结论:
- 吸烟和HPV感染是逆鼻瘤恶性转变的确诊危险因素.
- 建议包括戒烟和HPV疫苗接种对于IP的个人.
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