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首页> 外文期刊>The Annals of otology, rhinology, and laryngology >Factors Associated with Refractory Nasal Congestion Following Adenoidectomy
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Factors Associated with Refractory Nasal Congestion Following Adenoidectomy

机译：腺体切除术后难治性鼻塞相关的因素

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Objective: The objective of this study was to better characterize factors associated with refractory rhinitis in pediatric patients who underwent adenoidectomy compared to those who had symptom resolution. Methods: The authors conducted a case series of patients younger than 18 years old who underwent adenoidectomy at Boston Medical Center from October 2012 to December 2018. Patients who underwent tonsillectomy and adenoidectomy or who underwent adenoidectomy for indications other than rhinitis were excluded. Patients who had refractory rhinitis symptoms postoperatively were compared to those who had resolution of their symptoms using Chi-square analysis andt-tests. Results: One hundred three patients who had refractory symptoms following adenoidectomy were compared to 139 patients who had resolution of symptoms. Patients who had refractory symptoms had significantly higher proportion of use (89.3%,P =.0011) and higher mean number of preoperative (1.50,P= .0226) and postoperative (1.10,P< .0001) medications, including nasal saline, intranasal steroids, antihistamines, and/or antibiotics. They were more likely to receive postoperative allergy evaluations (50%,P =.0068) and repeat surgery (30.1%,P< .0001), and had a higher proportion of reported history of allergies (24.3%,P =.0089). Conclusion: Use and number of preoperative medications, reported history of allergies, and postoperative allergy evaluation were significantly higher in patients with refractory chronic rhinitis following adenoidectomy. This study identified differences in patients who developed refractory symptoms that may help clinical decision making for surgical management.
机译：目的：本研究的目的是更好地描述接受腺样体切除术的儿童患者与症状缓解的儿童患者中与难治性鼻炎相关的因素。方法：作者对2012年10月至2018年12月在波士顿医学中心接受腺样体切除术的18岁以下患者进行了一系列病例研究。排除接受扁桃体切除术和腺样体切除术的患者，或因鼻炎以外的适应症接受腺样体切除术的患者。采用卡方分析和t检验，将术后出现难治性鼻炎症状的患者与症状缓解的患者进行比较。结果：103例腺样体切除术后出现难治性症状的患者与139例症状缓解的患者进行了比较。有难治性症状的患者使用药物的比例明显较高（89.3%，P=0.0011），术前（1.50，P=0.0226）和术后（1.10，P<0.0001），包括鼻盐水、鼻内类固醇、抗组胺药和/或抗生素的平均数量也较高。他们更有可能接受术后过敏评估（50%，P=0.0068）和重复手术（30.1%，P<0.0001），并且报告的过敏史比例较高（24.3%，P=0.0089）。结论：腺样体切除术后难治性慢性鼻炎患者术前药物的使用和数量、报告的过敏史和术后过敏评估显著增加。这项研究确定了出现难治性症状的患者之间的差异，这些症状可能有助于外科治疗的临床决策。

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