气球鼻腔整形后修复手术的长期风险与内镜鼻腔手术相比
Miti J Parikh1, Antonio Franco2,3, Kevin Hur3
1Keck School of Medicine of the University of Southern California, Los Angeles, USA.
The Annals of otology, rhinology, and laryngology
|November 5, 2025
概括
患有慢性鼻炎 (CRS) 的患者接受气球鼻整形 (BSP),与内镜鼻手术 (ESS) 相比,他们面临更高的修复手术风险. 然而,对于这两种手术来说,长期医疗保健的使用情况仍然相似.
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.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 慢性鼻炎 (CRS) 显著影响生活质量.
- 气球鼻腔整形 (BSP) 和内镜鼻腔手术 (ESS) 是常见的CRS治疗方法.
- 关于BSP和ESS之间长期结果的比较数据有限.
研究的目的:
- 在CRS患者中比较BSP和ESS之间的修复手术率.
- 为了评估手术后医疗保健利用率,按照BSP对比ESS.
- 为了分析长期的结果,直到5年后的程序.
主要方法:
- 美国TrinetX数据库的回顾性分析.
- 包括没有囊性纤维化或恶性瘤的成年CRS患者 (≥18岁).
- 倾向性得分与患者特征和手术程序 (BSP与ESS) 的控制匹配.
主要成果:
- 总共有4,632名CRS患者被分析;26%的人患有鼻.
- 在五年内,9.70%的BSP患者需要修复手术,而ESS患者的7.22% (p=0.0004).
- 一年后,在术后使用抗生素或类固醇时没有明显的差异.
结论:
- 气球鼻腔整形 (BSP) 与慢性鼻炎的内镜鼻手术 (ESS) 相比,与修复手术的五年风险相关.
- 长期的术后医疗利用,包括药物使用,在两个手术方法之间没有显著差异.
- 这些发现表明,ESS可能提供更持久的初始结果,关于需要重复程序的需要.
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