过敏性鼻炎患者在6个月后更有可能需要进行二次腺切除术
Sofia Piperno1, Truman Archer2, Sawyer Archer2
1John Sealy School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
International journal of pediatric otorhinolaryngology
|November 13, 2025
概括
过敏性鼻炎患者在最初的手术后更有可能需要第二次腺切除术. 这项研究强调了过敏性鼻炎对腺切除术结果的长期影响.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 过敏和免疫学 过敏和免疫学
背景情况:
- 腺切除术是一种常见的儿科手术,通常需要由腺增大.
- 过敏性鼻炎是与腺体缩相关的常见并发症.
- 渐进性腺增大会导致需要手术干预的症状.
研究的目的:
- 评估过敏性鼻炎对随着时间的推移对二次腺切除术的需要的影响.
- 为了比较二次腺切除术在患有和没有过敏性鼻炎的患者中的二次腺切除术率.
主要方法:
- 利用TrinetX数据库进行患者数据和统计分析.
- 将患有过敏性鼻炎的队列与没有这种疾病的对照组进行比较,两者都经历了初级腺切除术.
- 用人倾向性得分匹配队列平衡和分析了不同时间点的二次腺切除术率.
主要成果:
- 评估了65,106名儿科患者.
- 在初级手术后的前0.5年内,没有观察到二次腺切除率的显著差异.
- 经过0.5年,在过敏性鼻炎患者中发现二次腺切除术率的统计学上显著增加.
结论:
- 被诊断为过敏性鼻炎的患者显示需要二次腺切除术的可能性更高.
- 重复手术的增加需要在最初的腺切除术后超过0.5年后变得明显.
- 过敏性鼻炎是影响腺切除术后长期结果的重要因素.
相关概念视频
Chronic Pharyngitis
10.7K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
10.7K
Suctioning the Nasopharyngeal Airway
2.9K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
2.9K
Epistaxis
508
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
508
Tonsillitis II: Management
390
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
390
Upper Respiratory Drugs: Decongestants
790
Decongestants are a class of medications used primarily to alleviate nasal congestion, a common symptom resulting from allergies, colds, sinusitis, and other upper respiratory tract infections. These drugs work by activating α-adrenergic receptors, constricting small blood vessels in the nasal membranes. This action results in the opening of clogged nasal passages, thereby facilitating sinus drainage and relieving congestion.
Most decongestants are readily available over-the-counter in...
Most decongestants are readily available over-the-counter in...
790
Drugs Used in Upper Respiratory Disorders: Overview
611
Upper respiratory tract disorders, including viral infections and allergic rhinitis, cause significant discomfort and disrupt daily life. Managing these conditions involves a variety of drugs, such as antihistamines, intranasal steroids, decongestants, antitussives, expectorants, and mucolytics. Specific examples of drugs in each category are provided.
Antihistamines (e.g., Benadryl) block histamines from binding. Histamines are chemicals released during an allergic reaction in the body. As a...
Antihistamines (e.g., Benadryl) block histamines from binding. Histamines are chemicals released during an allergic reaction in the body. As a...
611


