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摘要: 儿童慢性鼻窦炎(CRS)是耳鼻咽喉头颈外科的常见疾病,由于儿童鼻窦发育和免疫能力均不够成熟,其病因及病理机制复杂,其临床特征和转归与成人患者差异显著。由于缺乏足够关注,儿童CRS目前的诊断和治疗尚存在一些问题,尤其是对儿童慢性鼻窦炎的诊疗比如抗生素应用和手术治疗等方面尚存很多不明之处。有鉴于此,中国鼻病研究协作组组织国内的知名中青年鼻科专家,在系统复习国内外最新研究文献的基础上,参考国内外最新的循证医学依据,结合自己的临床经验,制订了本专家共识。共识包括流行病学、易感因素、病理生理、诊断及鉴别诊断以及治疗策略如药物治疗和手术治疗等多方面,旨在规范儿童慢性鼻窦炎临床诊治,提升临床疗效和满意度,节省临床支出并减少不良反应的发生。Abstract: Pediatric chronic sinusitis (CRS) is a common disease within the field of otolaryngology-head and neck surgery. Due to the immaturity of sinus development and immune competence in children, its etiology and pathophysiology are complex, and its clinical features and outcomes differ significantly from those in adult patients. Currently, there are issues in the diagnosis and treatment of pediatric CRS, particularly in areas such as antibiotic use and surgical interventions, owing to a lack of sufficient attention. In recognition of this, the Chinese Rhinopathy Research Cooperation Group developed this expert consensus based on a systematic review of the latest literatures from both domestic and international sources, with reference to the latest evidence-based medical evidence worldwide, and in combination with their own clinical experience. The consensus covers various aspects including epidemiology, predisposing factors, pathophysiology, diagnosis and differential diagnosis, as well as treatment strategies such as medical therapy and surgical intervention. It aims to standardize the clinical diagnosis and treatment of pediatric CRS, improve clinical efficacy and patient satisfaction, reduce clinical expenditures, and decrease the occurrence of adverse reactions.
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Key words:
- chronic sinusitis /
- children /
- diagnosis /
- treatment
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