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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 .. >Outcome of adenoidectomy versus adenoidectomy with maxillary sinus wash for chronic rhinosinusitis in children.
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Outcome of adenoidectomy versus adenoidectomy with maxillary sinus wash for chronic rhinosinusitis in children.

机译：腺样体切除术与腺样体切除术联合上颌窦冲洗治疗儿童慢性鼻-鼻窦炎的结果。

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OBJECTIVES: To compare postoperative outcomes of adenoidectomy versus adenoidectomy with maxillary sinus wash as surgical treatment of chronic rhinosinusitis (CRS) in children. STUDY DESIGN: A retrospective review of prospectively collected data. METHODS: Children who failed to respond to medical therapy for CRS and had an adenoidectomy alone (A) or an adenoidectomy with a maxillary sinus wash (wash/A) were reviewed. Outcome was assessed at least 12 months postoperatively. RESULTS: Sixty children who satisfied the inclusion criteria were reviewed. Thirty-two of the children had a sinus wash at the time of adenoidectomy. The age range was 3 to 13 years (mean, 6.3 years) and the mean computed tomography (CT) score was 6.1. The two surgical groups were comparable with regard to age, sex, presence of allergies, asthma, and smoking in the household. Twenty-eight (87.5%) of the 32 patients who underwent wash/A showed improvement of their symptoms after 12 months follow-up compared with 17 (60.7%) of 28 patients who underwent A (P = .017). Multivariable analysis using logistic regression analysis with age, sex, asthma, allergy, and CT score as covariables showed that the success of wash/A compared with adenoidectomy was higher (93% to 60%) for children with a high CT score compared to those with a lower CT score (P .011). None of the other variables showed statistical significance. CONCLUSIONS: Children with more severe sinus disease as evidenced by a high CT score had a higher success rate if a maxillary sinus wash was performed at the time of adenoidectomy. Children with a low CT score did not have that benefit.
机译：目的：比较腺样体切除术与腺样体切除术联合上颌窦冲洗液作为儿童慢性鼻-鼻窦炎（CRS）的手术治疗方法的比较。研究设计：回顾性收集预期收集的数据。方法：回顾了对CRS的药物治疗无效的儿童，仅接受了腺样体切除术（A）或上颌窦冲洗液进行了腺样体切除术（wash / A）。术后至少12个月评估结果。结果：对符合入选标准的60名儿童进行了审查。腺样体切除术时有32名儿童洗过鼻窦。年龄范围为3至13岁（平均6.3岁），计算机断层扫描（CT）平均得分为6.1。两组的年龄，性别，过敏反应，哮喘和家庭吸烟情况相当。在接受清洗/ A治疗的32例患者中，有28例（87.5％）在12个月的随访后表现出症状改善，而在进行A / 28治疗的28例患者中有17例（60.7％）（P = .017）。使用年龄，性别，哮喘，过敏和CT得分作为协变量的logistic回归分析进行多变量分析，与CT得分高的儿童相比，与腺样体切除术相比，wash / A的成功率更高（93％至60％） CT评分较低（P .011）。其他变量均无统计学意义。结论：如果在进行腺样体切除术时进行上颌窦冲洗，则CT评分较高的证据表明，患有较严重鼻窦疾病的儿童具有较高的成功率。 CT评分低的儿童没有这种益处。

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