![Sample our Medicine, Dentistry, Nursing & Allied Health journals, sign in here to start your FREE access for 14 days]({"type":"image" , "src" : "/sda/5944/TOC-Subject-Sample-2021-Medicine-Dentistry-Nursing-Allied-Health.jpg"})
Abstract
Background
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).
Objectives
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.
Materials and methods
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.
Results
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.
Conclusion
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.
Chinese abstract
背景：尽管在改善内窥镜鼻窦手术（ESS）方面已有进展, 但接受ESS治疗的患者仍有术后出血的风险。很少注重识别ESS治疗慢性鼻窦炎（CRS）术后出血的具体危险因素。
目的：本研究旨在确定接受ESS治疗CRS的患者与术后出血相关的发生率和危险因素。
材料和方法：回顾性分析2017年至2020年之间接受ESS的605例CRS患者。进行单因素和多因素分析以评估术后出血发生率与背景特征之间的关联。
结果：在605例ESS中, 有36例（6.0％）发生了术后出血。多元逻辑回归分析显示, 抗血小板和/或抗凝药物的使用、高血压的存在和Lund-Mackay CT评分与术后出血的发生密切相关。
结论：术后出血是ESS术后的常见并发症。术后出血的危险因素如下：抗血小板和/或抗凝药物的使用、高血压和Lund-Mackay CT评分。
Disclosure statement
No potential conflict of interest was reported by the authors.