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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Clinical predictors of long-term success after endoscopic sinus surgery.
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Clinical predictors of long-term success after endoscopic sinus surgery.

机译：内窥镜鼻窦手术后长期成功的临床预测指标。

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OBJECTIVE: Determining the clinical predictors of long-term success after endoscopic sinus surgery (ESS) would better guide the management of patients. METHODS: One hundred-thirty chronic rhinosinusitis (CRS) patients were evaluated retrospectively. Overall subjective improvement was 83% with a mean follow-up of 60 months. Eighty percent had anatomic variations; 36.2%, allergy; 55.4%, nasal polyps; and 26.9%, history of previous operation. The improvement was 100%, 94%, 79.5%, and 69.7% in stages 0, I, II, and III, respectively. With other parameters, the success rates were 68.1% and 91.6% with and without allergy, 73.6% and 94.8% with and without polyps, 54.3% and 93.7% with and without previous history of surgery, 84.4% and 82.7% with and without anatomic variations, and 23.8% and 94.4% with and without recurrent polyps. CONCLUSION: In multivariate Cox regression analysis, allergy (P < 0.05; relative risk, 4.6) and previous polypectomy (P < 0.05; relative risk, 9.9) were found to be predictors of poor prognosis in the long-term follow-up.
机译：目的：确定内窥镜鼻窦手术（ESS）术后长期成功的临床预测指标将更好地指导患者的治疗。方法：回顾性分析103例慢性鼻鼻窦炎（CRS）患者。总体主观改善为83％，平均随访60个月。 80％的人有解剖学差异; 36.2％，过敏;鼻息肉占55.4％;和26.9％是先前的手术史。在第0，I，II和III阶段，分别为100％，94％，79.5％和69.7％。在其他参数的情况下，有或没有变态反应的成功率分别为68.1％和91.6％，有或没有息肉的成功率分别为73.6％和94.8％，有或没有手术史的成功率分别为54.3％和93.7％，有或没有解剖史的成功率为84.4％和82.7％变异，以及有或没有复发性息肉的比例分别为23.8％和94.4％。结论：在多因素Cox回归分析中，发现长期随访中的变态反应（P <0.05;相对危险度4.6）和既往息肉切除术（P <0.05;相对危险度9.9）是预测不良预后的指标。

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