规范的术后治疗措施对鼻内镜术后疗效的影响  

The Impact of Standard Postoperative Treatment on The Effectiveness of Endoscopic Sinus Surgery

作　　者：杨晓红[1] 郑明秀[1] 钮燕[1] 

机构地区：[1]昆明医学院第二附属医院耳鼻喉科,昆明650101

出　　处：《中国医药导刊》2011年第5期779-780,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨规范的术后治疗措施对内镜鼻窦手术疗效的影响。方法:采用messerkinger方式鼻内镜手术治疗慢性鼻窦炎、鼻息肉412例,随机分为两组,治疗组术后给鼻腔冲洗,定期换药,全身及鼻腔局部用药,对照组未能遵医嘱规范系统治疗。结果:随访6个月以上,其中治疗组Ⅰ型有效率为100.00%,Ⅱ型有效率为94.52%,Ⅲ型有效率为92.50%;对照组Ⅰ型有效率为84.83%,Ⅱ型有效率为83.33%,Ⅲ型有效率为60.71%,两组比较Ⅰ型差异有统计学意义(P<0.05),Ⅱ型、Ⅲ型差异有显著性(P<0.01)。结论:规范的术后治疗措施是提高内镜鼻窦手术疗效的重要组成部分。Objective：To discuss the impact of standard postoperative treatment on the effectiveness of endoscopic sinus surgery. Methods： 412 cases of sinusitis surgery and nasal polyps were treated with the Messerkinger Technique and were divided into two groups randomly. The treatment group was subjected to nasal irrigation,regular dressing,systemic and intranasal drug administration. While the control group fail to follow doctor＇s advice to conduct standard systematic treatment.Results：All the patients were followed up for 6 months, the effective rates of treatment group were 100.00% in I type,94.52% in Ⅱ-type and 92.50% in Ⅲ type;the effective rates of control group were 84.83% in I type, 83.33% in Ⅱtype and 60.71% in Ⅲtype.There were statistically significant difference between the I type of two groups （P〈0.05）,and the Ⅱ and Ⅲ types of two groups （P〈0.01）.Conelusion：Standard postoperative treatment plays an important part in improving the effectiveness of endoscopic sinus surgery.

关 键 词：鼻内镜手术 规范的术后治疗 

分 类 号：R765[医药卫生—耳鼻咽喉科]