Department of Otolaryngology, Qingpu Branch of Zhongshan Hospital, Fudan University, Shanghai, China.
Acta Otolaryngol. 2021 Apr;141(4):392-396. doi: 10.1080/00016489.2021.1878276. Epub 2021 Feb 13.
Although there has been progress in improving endoscopic sinus surgery (ESS), patients undergoing ESS are still at risk of postoperative bleeding. Little attention has been given to identifying specific risk factors for postoperative bleeding after ESS to treat chronic rhinosinusitis (CRS).
The aim of this study was to identify the incidence and risk factors associated with postoperative bleeding in patients who underwent ESS to treat CRS.
Six hundred and five patients with CRS who underwent ESS between 2017 and 2020 were included in this retrospective analysis. Univariate and multivariate analysis was performed to assess the association between the incidence of postoperative bleeding and the background characteristics.
Out of 605 ESSs, 36 (6.0%) patients developed postoperative bleeding. Multiple logistic regression revealed that the use of antiplatelet and/or anticoagulant drugs, the presence of hypertension and the Lund-Mackay CT score were significantly correlated with the occurrence of postoperative bleeding.
Postoperative bleeding is a common complication following ESS. The risk factors for postoperative bleeding were as follows: the use of antiplatelet and/or anticoagulant drugs, hypertension and the Lund-Mackay CT score.
尽管内镜鼻窦手术（ESS）在改善方面取得了进展，但接受 ESS 的患者仍有术后出血的风险。对于识别 ESS 治疗慢性鼻-鼻窦炎（CRS）后术后出血的特定风险因素，关注甚少。
本研究旨在确定 ESS 治疗 CRS 患者术后出血的发生率和相关风险因素。
本回顾性分析纳入了 2017 年至 2020 年间接受 ESS 的 605 例 CRS 患者。采用单因素和多因素分析评估术后出血发生率与背景特征之间的关联。
在 605 例 ESS 中，36 例（6.0%）患者发生术后出血。多因素逻辑回归显示，使用抗血小板和/或抗凝药物、高血压和 Lund-Mackay CT 评分与术后出血的发生显著相关。
术后出血是 ESS 后的常见并发症。术后出血的风险因素包括：使用抗血小板和/或抗凝药物、高血压和 Lund-Mackay CT 评分。
