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首页> 外文期刊>American journal of rhinology & allergy >Review and Analysis of Research Trends in Surgical Treatment of Pediatric Chronic Sinusitis
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Review and Analysis of Research Trends in Surgical Treatment of Pediatric Chronic Sinusitis

机译：小儿慢性鼻窦炎外科治疗研究趋势的回顾与分析

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Background Chronic sinusitis is a common otolaryngologic complaint with a significant impact on patients' quality of life. There is current debate and differences in quality of evidence regarding the best surgical management approach to pediatric chronic sinusitis. Objective To investigate changes in publishing trends over time in surgical management of pediatric chronic sinusitis. Methods A systematic literature review was conducted in January 2019 using Embase, PubMed, and Web of Science, of all articles that included surgical treatments for pediatric chronic sinusitis. Publications were grouped into 3 time periods: pre-1998, 1999-2008, and 2009-2018. In addition, a subgroup of publications pertaining to endoscopic sinus surgery, balloon sinuplasty, and adenoidectomy were grouped into 2-year periods since 1988 to compare the number of publications on each topic and to examine overall trends. Results A total of 327 abstracts were included in the data collection and analysis. There was an overall significant increase in total number of publications (P .05). Among the surgery types, functional endoscopic sinus surgery has the most amount of publications regardless of year despite a statistically significant increase in publications pertaining to balloon sinuplasty in the pediatric literature from 1999-2008 to 2009-2018 (P = .001). Conclusions Studies on pediatric chronic sinusitis have increased significantly during each of the last 2 decades with an increase in the concomitant number of authors and comparison studies. Although most publications are still Level C or D evidence, there has been a nonsignificant increase in Level A evidence in the past decade. Endoscopic sinus surgery still remains the most studied procedure despite the recent increase in publications on balloon sinuplasty.
机译：背景技术慢性鼻窦炎是一种常见的耳鼻喉科抱怨，对患者的生活质量产生重大影响。有关儿科慢性鼻窦炎最佳手术管理方法的证据质量现有辩论和差异。目的探讨儿科慢性鼻窦炎外科管理随着时间的推移趋势的变化。方法使用嵌入式，Pubmed和科学网络，在2019年1月进行系统文献综述，其中所有文章包括用于小儿慢性鼻窦炎的外科治疗。出版物分为3次：1998年98年，1999-2008和2009-2018。此外，自1988年以来将与内镜鼻窦外科，气球窦术和腺样菌切除术有关的出版物的亚组分为2年期间，以比较每个主题的出版物数量并审查整体趋势。结果共有327个摘要被列入数据收集和分析中。出版物总数（p .05）总体上显着增加。在手术类型中，尽管1999-2008至2009-2018（P = .001）的儿科文献中的出版物有统计学显着增加，但功能性内镜鼻窦手术最多是最多的出版物。结论在过去的二十年中，对儿科慢性鼻窦炎的研究显着增加，随着作者和比较研究的伴随数量增加。虽然大多数出版物仍然是C或D证据，但在过去十年中的证据级别较为显着增加。尽管最近在气球SINUPLASTY的出版物增加，但内窥镜鼻窦手术仍然是最习惯的程序。

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