在患有慢性鼻炎的患者中,射频除与后鼻神经激光神经溶解相比
Chia-Chen Lin1, Yi-Li Hwang2, Jyun-Yi Liao3
1Department of Otorhinolaryngology & Head and Neck Surgery, New Taipei Municipal TuCheng Hospital (Built and Operated by Chang Gung Medical Foundation), New Taipei City, Taiwan, ROC.
概括
后鼻神经的射频切除 (RAPN) 和RAPN与CO2激光后鼻神经神经溶解 (RPN3) 的结合有效地治疗慢性鼻炎. RPN3提供卓越的缓解症状,特别是对于鼻和鼻.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 最少侵入性的手术
背景情况:
- 对药物治疗无反应的慢性鼻炎是一个重大的临床挑战.
- 后鼻神经切除技术旨在缓解持久性鼻炎症状.
研究的目的:
- 为了比较后鼻神经 (RAPN) 的射频切除疗效与 CO2 激光后鼻神经神经溶解 (RPN3) 结合的 RAPN 与慢性鼻炎的疗效.
- 评估临床结果,包括症状评分和反应率.
主要方法:
- 对101名长期鼻炎耐药成年患者进行了回顾性队列研究.
- 患者在2023年2月至2024年5月期间接受RAPN或RPN3治疗.
- 主要终点包括总鼻腔症状得分 (rTNSS) 和1,3,6个月后NOSE得分的变化.
主要成果:
- 无论是RAPN还是RPN3,rTNSS和NOSE分数均显著改善 (P < .001).
- 从1个月到6个月,RPN3的改善明显大于RAPN的改善 (P = .039-.045).
- RPN3在改善鼻和鼻子子分数方面特别有效 (P = .003-.039).
结论:
- RAPN和RPN3都是药物耐药性慢性鼻炎的有效治疗方法.
- 与单独使用RAPN相比,RPN3提供了优越的症状缓解.
- 添加二氧化碳激光神经溶解可提高针对特定鼻炎症状的治疗结果.
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