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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Symptom outcomes in endoscopic sinus surgery: a systematic review of measurement methods.
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Symptom outcomes in endoscopic sinus surgery: a systematic review of measurement methods.

机译：内窥镜鼻窦手术的症状预后：测量方法的系统综述。

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OBJECTIVE:: To determine the type and prevalence of measurement methods used to analyze symptom outcomes after endoscopic sinus surgery (ESS). DATA SOURCES:: Data were derived from PubMed, MEDLINE, EMBASE, Web of Science, Cochrane databases, Google Scholar, and manual searches. STUDY SELECTION:: All English-language studies consisting of more than 10 adult patients from January 1980 to December 2006 reporting ESS symptom outcome results were reviewed. Studies of radical surgery and studies involving patients with significant comorbidities were excluded. RESULTS:: The ESS symptom outcome results of 29,333 patients were reported in 204 studies. Symptom outcome was determined by survey instruments in 47 (23.0%) studies and individual symptom scoring in 63 (31%) studies. Of 18 validated instruments used, almost two thirds of studies that reported results by survey measures used the following three instruments: Chronic Sinusitis Survey (12 studies), Sinonasal Outcome Test-20 (11 studies), and Medical Outcomes study 36-Item Short-Form Health Survey (10 studies). The percentages of studies that reported specific results of the 1997 American Academy of Otolaryngology-Head Neck Surgery Rhinosinusitis Task Force (RSTF) chronic rhinosinusitis symptom criteria varied as follows: facial pain/pressure, 35%; facial congestion/fullness, 10%; nasal obstruction/blockage, 42%; nasal discharge/purulence/discolored postnasal discharge, 47%; hyposmia/anosmia, 35%; fever, 2%; halitosis, 4%; fatigue, 11%; dental pain, 3%; cough, 10%; and ear pain/pressure/fullness, 6%. CONCLUSIONS:: ESS symptom outcome is assessed inconsistently by numerous measures. Individual report- ing of all RSTF chronic rhinosinusitis symptom criteria, as recommended by the RSTF and by subsequent consensus conferences, is rarely noted. Many RSTF symptom criteria are seldom studied.
机译：目的：确定用于分析内窥镜鼻窦手术（ESS）后症状预后的测量方法的类型和普遍性。数据来源：：数据来自PubMed，MEDLINE，EMBASE，Web of Science，Cochrane数据库，Google Scholar和手动搜索。研究选择：自1980年1月至2006年12月，所有10例报告ESS症状结局结果的成年患者的英语研究均进行了回顾。排除了根治性手术研究和涉及合并症的患者的研究。结果：204项研究报告了29,333例患者的ESS症状结果。症状结局由47项研究（23.0％）中的调查工具确定，而63项（31％）研究中的个体症状评分确定。在使用的18种经过验证的工具中，几乎有三分之二的研究通过调查方法报告了结果，其中使用了以下三种工具：慢性鼻窦炎调查（12项研究），鼻鼻窦结果测试20（11项研究）和医学成果研究36项表格健康调查（10个研究）。报告1997年美国耳鼻咽喉科学院院-鼻颈外科鼻-鼻窦炎任务组（RSTF）慢性鼻-鼻窦炎症状标准的具体结果的研究百分比如下：面部疼痛/压力35％;面部充血/丰满，10％;鼻阻塞/阻塞，占42％;鼻分泌物/脓性/鼻后变色47％;睡眠不足/失眠35％;发烧2％;口臭4％;疲劳度11％;牙痛3％;咳嗽，10％;和耳朵疼痛/压力/丰满度，为6％。结论：ESS症状结局评估不一致的多种措施。 RSTF和随后的共识会议建议很少单独报告所有RSTF慢性鼻-鼻窦炎症状标准。很少研究许多RSTF症状标准。

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