在COVID-19感染后评估内镜鼻手术的安全性
Ella Prebel Jackert1, Oluwatobiloba Ayo-Ajibola1, Eric X Wei2
1Keck School of Medicine University of Southern California Los Angeles California USA.
Laryngoscope investigative otolaryngology
|December 22, 2025
概括
最近的COVID-19感染可能会增加内镜鼻手术 (ESS) 后表和鼻塞的风险,但主要并发症仍然不受影响. 感染COVID-19的时间对于评估ESS患者手术风险至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染病流行病学 传染病流行病学
背景情况:
- 慢性鼻炎 (CRS) 的管理通常涉及内镜鼻手术 (ESS).
- 之前的COVID-19感染对ESS结果的影响需要表征.
研究的目的:
- 评估近期和远期COVID-19感染对ESS后术后果的影响.
- 评估COVID-19病史患者在ESS后并发症风险和医疗利用情况.
主要方法:
- 使用TrinetX数据库 (2020-2024) 的回顾性队列研究.
- 接受ESS的CRS患者根据COVID-19感染时间进行分类:最近 (<2个月),远程 (2-12个月) 或没有感染.
- 倾向分数匹配 (PSM) 用于控制混变量.
主要成果:
- 最近的COVID-19感染与2个月内术后表皮 (RR: 1.236) 和鼻塞 (RR: 1.273) 的风险增加有关.
- 在各队伍中没有观察到重大术后并发症的显著差异.
- 分析包括10803名近期感染的患者和3804名PSM后远期感染的患者.
结论:
- 最近的COVID-19感染可能会增加ESS后表发生的风险.
- 透视鼻手术在重大并发症方面似乎是安全的,即使是在最近的COVID-19感染后.
- 考虑COVID-19感染时间对于管理ESS患者的手术风险和术后护理很重要.
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