鼻功能障碍的最小侵入性技术:系统审查和元分析
Guled M Jama1, Filippo Cainelli2, Luiza Farache Trajano3
1Department of Rhinology and Facial Plastic Surgery, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom.
Facial plastic surgery : FPS
|September 2, 2025
概括
鼻功能障碍 (NVD) 的最小侵入性治疗提供显著的症状缓解,并且耐受良好. 这些以办公室为基础的选择提供了持久的改善,为传统的鼻腔阻塞手术提供了可行的替代方案.
科学领域:
- 耳鼻喉科
- 最少的入侵性手术
- 鼻科
背景情况:
- 鼻功能障碍 (NVD) 是鼻阻塞的常见原因,影响患者的生活质量.
- 基于办公室的干预正在成为NVD传统手术的替代方案.
- 这些新治疗方法的比较安全性和有效性需要进一步评估.
研究的目的:
- 系统地审查和元分析NVD的最小侵入性办公室干预措施的安全性和有效性.
- 评估患者报告的结果,包括鼻腔阻塞症状评估 (NOSE) 和视觉模拟量表 (VAS) 评分.
- 为了比较不同的NVD治疗的最小侵入性技术.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 搜索了四个数据库 (PubMed,Scopus,Cochrane图书馆,Ovid) 在2005年至2025年的研究中.
- 包括15项研究 (546名患者) 评估受温度控制的射频 (TCRF),可生物吸收的植入物,接和支架.
主要成果:
- 所有评估的干预措施 (TCRF,植入物,合) 在NOSE和VAS得分上显示出显著的改善.
- 温度控制无线电频率 (TCRF) 显示NOSE分数的加权平均差异为-44. 68 (p < 0. 001).
- 改善持续了3-48个月,有轻微和短暂的不良事件.
结论:
- 对NVD的最小侵入性技术提供了显著的,临床上重要的和持久的症状缓解.
- 这些干预措施具有良好的安全性,
- 未来的研究应侧重于随机对照试验和标准化结果测量.
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