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Otolaryngol Head Neck Surg:鼻窦球囊扩张术后,二次手术相关因素研究

2018-11-24 AlexYang MedSci原创

尽管鼻窦球囊扩张术(BSP)越来越流行,关于哪位患者是最好的候选人方面了解很少。最近,有研究人员调查了与BSP失败可能相关的因素。研究总共包括了154名患者(平均年龄为53岁):146名患者在单一的医疗系统中经历了BSP;16名(11%)患者在BSP后经历了修正性内镜鼻窦手术(rESS),并在一个单独的高级医疗系统中进行;8名患者在其他机构经历BSP,并且由资深人员进行rESS。研究的跟踪调查平均

尽管鼻窦球囊扩张术(BSP)越来越流行,关于哪位患者是最好的候选人方面了解很少。最近,有研究人员调查了与BSP失败可能相关的因素。

研究总共包括了154名患者(平均年龄为53岁):146名患者在单一的医疗系统中经历了BSP;16名(11%)患者在BSP后经历了修正性内镜鼻窦手术(rESS),并在一个单独的高级医疗系统中进行;8名患者在其他机构经历BSP,并且由资深人员进行rESS。研究的跟踪调查平均时间为12.8 ± 16.6 个月。单变量分析阐释了优先内窥镜鼻窦手术、鼻息肉、过敏性鼻炎和革兰氏阴性感染均与rESS显著相关。放射影像学发现,更高的Lund-Mackay评分、新骨形成和中度或者完全浑浊以及高密度均与rESS相关。多变量选择后最终的模型表明了更高的反射显影评分(OR,1.08; 95% CI, 1.01-1.17)、新骨形成(OR,5.25; 95% CI, 1.68-16.42)均与更高的rESS风险相关。

最后,研究人员指出,他们的研究鉴定了一些BSP后需要进行Ress的可能的一些临床和放射成像因素。外科手术医生可以在对患者是否应该进行BSP和进行传统的FESS时考虑这些因素。

原始出处:

Cooper M, Cheng T, Truong T et al. Factors Associated with Revision Surgery after Balloon Sinuplasty. Otolaryngol Head Neck Surg. 20 Nov 2018.

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    2019-06-05 lsj637
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    2018-11-24 lietome2

    好文,值得点赞!认真学习,应用于实践!谢谢分享给广大同好!

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1688430, encodeId=81e216884302b, content=<a href='/topic/show?id=360f686434a' target=_blank style='color:#2F92EE;'>#球囊扩张#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68643, encryptionId=360f686434a, topicName=球囊扩张)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=401d28589001, createdName=1249898am24暂无昵称, createdTime=Wed May 29 03:24:00 CST 2019, time=2019-05-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2044082, encodeId=16e72044082a5, content=<a href='/topic/show?id=8513126129d' target=_blank style='color:#2F92EE;'>#NEC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12612, encryptionId=8513126129d, topicName=NEC)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ac22500003, createdName=1249842em09(暂无昵称), createdTime=Wed Oct 09 13:24:00 CST 2019, time=2019-10-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1684767, encodeId=af281684e6700, content=<a href='/topic/show?id=794754e74f4' target=_blank style='color:#2F92EE;'>#扩张#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54774, encryptionId=794754e74f4, topicName=扩张)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=699d28086811, createdName=lsj637, createdTime=Wed Jun 05 08:24:00 CST 2019, time=2019-06-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2085126, encodeId=1be0208512612, content=<a href='/topic/show?id=c1362394449' target=_blank style='color:#2F92EE;'>#二次手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23944, encryptionId=c1362394449, topicName=二次手术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=de89102, createdName=liuyong2980, createdTime=Thu Jun 20 18:24:00 CST 2019, time=2019-06-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1384396, encodeId=b8d81384396cd, content=<a href='/topic/show?id=2e956863556' target=_blank style='color:#2F92EE;'>#球囊#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=124, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=68635, encryptionId=2e956863556, topicName=球囊)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4dfa37, createdName=智者为医08, createdTime=Mon Nov 26 03:24:00 CST 2018, time=2018-11-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1457503, encodeId=404c145e5039e, content=<a href='/topic/show?id=4159e25296d' target=_blank style='color:#2F92EE;'>#相关因素#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72529, encryptionId=4159e25296d, topicName=相关因素)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=19655942413, createdName=zzc2213, createdTime=Mon Nov 26 03:24:00 CST 2018, time=2018-11-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=353541, encodeId=469935354169, content=好文,值得点赞!认真学习,应用于实践!谢谢分享给广大同好!, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRuUXgacXpPeW0x8Z3Qr9c3I2kTic4ZIpR29iaftYgkjRcbv982icYMtqANBPYBgPnOia6mVtX76qMXuc/0, createdBy=d85d1636106, createdName=lietome2, createdTime=Sat Nov 24 12:58:27 CST 2018, time=2018-11-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=353534, encodeId=665335353417, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Sat Nov 24 12:52:54 CST 2018, time=2018-11-24, status=1, ipAttribution=)]
    2018-11-24 医者仁心5538

    学习了

    0

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