前额状动脉在异常性表观症中的重要性:一项回顾性研究
Nikolaos K Vovolinis1, Vasileios T Panousopoulos2, Efthymios Kyrodimos1
1First Department of Otorhinolaryngology, Head and Neck Surgery, Hippocrateion General Hospital, National and Kapodistrian University of Athens, Vas. Sofias 114, 11527, Athens, Greece.
异常性表 (鼻血) 可以源自前额状动脉 (AEA) 或面动脉 (SPA). AEA-epistaxis,特别是从Stamm的S点开始,可能需要更多的输血,但可以用局部麻醉治疗,并具有较低的再入院率.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 血管解剖学 血管解剖学
- 医学研究 医学研究
背景情况:
- 鼻出血 (epistaxis) 是一种常见的疾病,有多种原因.
- 有限的比较数据存在于前额叶状动脉 (AEA) 与叶状动脉 (SPA) 参与异常性表观症.
- 了解表的起源对于有效的管理至关重要.
研究的目的:
- 为了比较来自AEA (AEA-epistaxis) 和SPA (SPA-epistaxis) 的异常性表的临床特征.
- 为了确定AEA-epistaxis的特定解剖部位,例如S点.
- 为了评估AEA-epistaxis和SPA-epistaxis之间的治疗要求和结果的差异.
主要方法:
- 在2017年1月至2024年12月期间,对因表皮切除而住院的患者进行了回顾性审查.
- 根据所谓的动脉来源对表病例的分类:AEA或SPA.
- 对患者人口统计,临床表现,治疗方法和结果的分析.
主要成果:
- 在113个异常性表病例中,54%是SPA表病,24%是AEA表病.
- 斯塔姆的S点是AEA-表症最常见的部位 (23/27例).
- 与SPA-epistaxis患者相比,AEA-epistaxis患者需要显著更多的输血 (30%与13%相比),并且通常需要全身麻醉.
- 在SPA-epistaxis中,重症表症的再入院率更高 (4.9%与0%相比).
结论:
- 在大约25%的病例中,异常性表观症可以源于AEA分支,包括S点,在约25%的病例中.
- 耳鼻喉科医生必须在表评估中考虑AEA分支,以避免延迟诊断和增加输血率.
- 与SPA-epistaxis不同,Stamm的S点表可以在局部麻醉下进行管理,并具有较低的再入院率.
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