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鼻黏膜白细胞介素17、嗜酸性粒细胞水平与慢性鼻窦炎患者鼻内镜术后嗅觉功能转归的关系 被引量:1
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作者 徐金 庄汉 +3 位作者 倪泽 庄晓玲 张其昌 葛唱 《中国现代医学杂志》 CAS 北大核心 2022年第20期72-77,共6页
目的探讨鼻黏膜白细胞介素17(IL-17)、嗜酸性粒细胞(EOS)水平与慢性鼻窦炎(CRS)患者鼻内镜术后嗅觉功能转归的关系。方法选取2019年2月—2021年6月徐州医科大学附属宿迁医院收治的121例CRS患者为研究对象,所有患者行鼻内镜手术治疗,采... 目的探讨鼻黏膜白细胞介素17(IL-17)、嗜酸性粒细胞(EOS)水平与慢性鼻窦炎(CRS)患者鼻内镜术后嗅觉功能转归的关系。方法选取2019年2月—2021年6月徐州医科大学附属宿迁医院收治的121例CRS患者为研究对象,所有患者行鼻内镜手术治疗,采用免疫组织化学法检测鼻黏膜组织IL-17、EOS。收集所有患者临床资料,术后随访3个月。比较术前不同嗅觉功能障碍程度患者的鼻黏膜IL-17、EOS表达,采用逐步多因素Logistic回归分析影响CRS患者术后嗅觉功能转归的因素,绘制受试者工作特征(ROC)曲线分析鼻黏膜IL-17、EOS对CRS患者术后嗅觉功能转归的预测价值。结果嗅觉功能轻度障碍组IL-17、EOS表达低于嗅觉功能中、重度障碍组(P<0.05),嗅觉功能中度障碍组IL-17、EOS低于嗅觉功能重度障碍组(P<0.05)。逐步多因素Logistic回归分析结果显示:鼻窦CT评分[OR=3.857(95%CI:1.587,9.375)]、Lund-Kennedy评分[OR=3.827(95%CI:1.575,9.300)]、IL-17[OR=3.367(95%CI:1.385,8.183)]、EOS[OR=3.680(95%CI:1.514,8.944)]是CRS患者术后嗅觉功能转归的影响因素(P<0.05)。ROC曲线结果显示,鼻黏膜IL-17、EOS及两者联合预测CRS患者术后嗅觉功能转归的敏感性分别为78.26%、73.91%和73.91%,特异性分别为74.79%、79.83%和89.92%,AUC分别为0.754、0.772和0.879。结论鼻黏膜IL-17、EOS表达与CRS患者鼻内镜术后嗅觉功能有关,两者联合预测CRS患者鼻内镜术后嗅觉功能转归效能较好。 展开更多
关键词 慢性鼻窦炎 白细胞介素-17 嗜酸性粒细胞 嗅觉功能
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Effects of RFTVR and CO2 laser on symptoms improvement, QOL and vas of patients with early laryngeal cancer
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作者 Ting Liu Ren-Jie Chen +2 位作者 xiao-ling zhuang Han zhuang Bing Liu 《Journal of Hainan Medical University》 2020年第5期30-33,共4页
Objective: To study the effect of RFTVR and CO2 laser on the improvement of symptoms, QOL and vas of patients with early laryngeal cancer. Methods: In this study, 120 patients with laryngeal cancer diagnosed and treat... Objective: To study the effect of RFTVR and CO2 laser on the improvement of symptoms, QOL and vas of patients with early laryngeal cancer. Methods: In this study, 120 patients with laryngeal cancer diagnosed and treated from January 2015 to December 2016 were taken as research objects. All patients were randomly divided into observation group and control group, 60 patients in each group. Patients in observation group were treated with RFTVR, and patients in control group were treated with new-type fiber-optic CO2 laser. The patients in the two groups were treated with cisplatin injection. The differences of perioperative indexes, swallowing function, pronunciation function, survival period, QOL score and VAS score between the two groups were compared. Results: There was no significant difference in the amount of intraoperative bleeding, operation time and hospitalization time between the two groups (P > 0.05);the correct swallowing of the observation group was significantly higher than that of the control group. After treatment, jitter, shimmer and HNR of the two groups were significantly improved, and jitter and shimmer of the observation group were significantly lower than that of the control group, and HNR was significantly higher than that of the control group (P < 0.05) The QOL score and VAS score of the two groups were significantly improved, and the QOL score of the observation group was significantly higher than that of the control group and the VAS score was significantly lower than that of the control group (P < 0.05);the total survival period and tumor free survival period of the observation group were significantly higher than that of the control group. Conclusion: Compared with CO2 laser treatment, the swallowing function and voice function of patients treated by low temperature plasma radiofrequency ablation were significantly improved, and the life quality of patients was significantly improved by prolonging the survival period of patients.. 展开更多
关键词 CO2 laser therapy Low temperature plasma radiofrequency ablation Laryngeal cancer Articulation function Swallowing function
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