在成年人手术后的鼻门息肉复发:一个系统性审查
Kimberly A Oslin1, Carl P Wilson2, John R Craig1
1Department of Otolaryngology - Head and Neck Surgery, Henry Ford Health, Detroit, Michigan, USA.
The Laryngoscope
|September 13, 2025
概括
成年人中的门息肉 (ACP) 在手术切除后在约9%的病例中复发. 这一系统性审查强调了对影响ACP复发后手术的因素进行进一步研究的需要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 安特罗阿纳息肉 (ACP) 是源自大鼻的良性囊性病变,通常需要手术干预.
- 虽然儿童ACP的复发率有记录,但成人复发率的数据仍然不太确立.
- 经鼻腔内镜切除是症状ACP患者的首选手术方法.
研究的目的:
- 在成年患者手术切除后,系统地审查和确定上鼻 (ACP) 的复发率.
- 建立可靠的ACP成年人群中复发率.
主要方法:
- 对Medline,Embase和Web of Science数据库进行了系统审查,以研究1946年至2025年7月的ACP切除.
- 包含的研究报告了16岁或以上的患者的鼻ACP复发率,并提出了特定的随访持续时间标准.
- 分析了16项涉及439名成年患者的研究数据.
主要成果:
- 在手术切除后成年人中,门息肉 (ACP) 的整体复发率为9% (95% CI: 6%-14%).
- 分析包括来自16项研究的数据,包括439名成年患者,平均年龄为33.8岁.
- 内镜中部肉体内是主要的外科手术技术,在80.8%的病例中使用,平均随访时间为36.8个月.
结论:
- 在手术切除后,大人的复发率约为9%.
- 需要进一步调查,以确定与ACP复发相关的特定患者相关因素和外科手术技术.
- 了解复发预测因子可以帮助优化鼻ACP的手术策略和患者管理.
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