Fu Yong, Liu Jia, Li Jing, Zhao Keqing, Gu Qinglong, Song Wei, Li Qi, Jiang Yan, Ye Jing, Wang Xiangdong, Dai Jiren, Wang Hongtian, Xu Yu, Lu Meiping, Liu Wenlong, Yao Hongbing, Li Yong, Li Huabin
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Dec;38(12):1091-1099. doi: 10.13201/j.issn.2096-7993.2024.12.001.
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.
小儿慢性鼻窦炎(CRS)是耳鼻咽喉头颈外科学领域的一种常见疾病。由于儿童鼻窦发育和免疫功能不成熟,其病因和病理生理复杂,临床特征和预后与成年患者有显著差异。目前,小儿CRS的诊断和治疗存在问题,特别是在抗生素使用和手术干预等方面,原因是缺乏足够重视。认识到这一点,中国鼻病研究协作组基于对国内外最新文献的系统回顾,参考全球最新循证医学证据,并结合自身临床经验,制定了本专家共识。该共识涵盖流行病学、易感因素、病理生理、诊断与鉴别诊断以及药物治疗和手术干预等治疗策略等多个方面。旨在规范小儿CRS的临床诊断和治疗,提高临床疗效和患者满意度,降低临床费用,减少不良反应的发生。