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首页> 外文期刊>Laryngo- rhino- otologie >Health services research on paranasal sinus surgery in thuringia: Epidemiologic key data and outcome [Versorgungsforschung zu Nasennebenh?hlenoperationen in Thüringen: Epidemiologie und Ergebnisse]
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Health services research on paranasal sinus surgery in thuringia: Epidemiologic key data and outcome [Versorgungsforschung zu Nasennebenh?hlenoperationen in Thüringen: Epidemiologie und Ergebnisse]

机译：图林根州鼻窦手术的卫生服务研究：流行病学关键数据和结果[图林根州鼻窦手术的卫生服务研究：流行病学和结果]

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Background: Although modern minimal-invasive paranasal sinus surgery is an integral part of clinical routine of otorhinolaryngologic surgeons, there are no population-based data on incidence and efficiency of this surgery published. Material and Methods: 1 582 patients underwent paranasal sinus surgery in the 8 Thuringian departments of otorhinolaryngology in 2005. All patients were analysed regarding patients' characteristics, therapy, complications and further course of disease. Results: The incidence of paranasal sinus surgery was 46/100 000 for women and higher for men with 72/100 000. Median age was 48 years. Chronic sinusitis was the main reason for surgery (94%; including 33% with nasal polyps) and was performed dominantly as endoscopic sinus surgery (96%). Surgery was performed bilaterally in 75% of the cases and as primary surgery. In most cases at least 2 paranasal sinuses per side were approached. Relevant complications were observed in 4% of patients. During the follow-up time of 45-51 months a recurrence was observed in 9% of cases. Using a multivariate regression analysis, revision surgery, allergic subject and diagnosis of a malignant tumor were significant independent risk factors to predict a recurrence. Older age and longer time of surgery were significant independent risk factors for a complication. Conclusion: This population based analysis is showing that modern paranasal sinus surgery is performed in high incidence, effectively and with low-risk on a large scale in daily routine of rhinologic surgeons.
机译：背景：尽管现代微创鼻旁鼻窦手术是耳鼻喉外科医师临床常规工作不可或缺的一部分，但目前尚无基于人群的有关这种手术的发生率和效率的数据。材料与方法：2005年，在图林根州8个耳鼻咽喉科，对1 582例患者进行了鼻旁窦手术。对所有患者进行了特征，治疗，并发症和进一步病程分析。结果：女性鼻旁窦手术的发生率为46/100 000，男性为72/100 000的发生率更高。中位年龄为48岁。慢性鼻窦炎是手术的主要原因（94％;包括33％的鼻息肉），并且作为内窥镜鼻窦手术（96％）占主导地位。在75％的病例中，双侧手术是主要手术。在大多数情况下，每侧至少有2条鼻旁窦。在4％的患者中观察到相关并发症。在45-51个月的随访期间，有9％的病例复发。使用多元回归分析，翻修手术，过敏性受试者和恶性肿瘤的诊断是预测复发的重要独立危险因素。年龄大，手术时间长是并发症的重要独立危险因素。结论：这项基于人群的分析表明，现代鼻腔鼻窦手术在鼻科外科医生的日常工作中以高发病率，高效率和低风险进行。

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