鼻内镜手术在鼻窦炎、鼻息肉治疗中的临床疗效分析及影响因素研究  

Study of clinical efficacy of endoscopic sinus surgery in treatment of sinusitis and nasal polyps and influencing factors

作　　者：肖二彬[1] 毕朝煜[2] 赵宝建[1] 

机构地区：[1]河北大学附属医院耳鼻喉科,河北保定071000 [2]河北大学附属医院5病区

出　　处：《现代预防医学》2013年第7期1390-1391,共2页Modern Preventive Medicine

摘　　要：目的探讨鼻内镜手术用于鼻窦炎、鼻息肉治疗临床效果,并分析预后影响因素。方法选取某院2008年9月～2012年6月收治慢性鼻窦炎、鼻息肉患者180例,采用随机数字表法分为两组,其中对照组90例,采用包括药物、激光及微波在内等非手术治疗;鼻内镜组90例,采用鼻内镜手术治疗;比较两组患者临床治愈率及改善总有效率等。结果对照组与鼻内镜组患者临床治愈率分别为12.2%,26.7%,而临床改善总有效率分别为67.8%,91.1%;鼻内镜组患者临床治愈率及临床改善总有效率均明显优于对照组,组间比较差异有统计学意义(P﹤0.05)。结论相较于非手术治疗措施,鼻内镜手术用于鼻窦炎、鼻息肉治疗临床效果能够有效提高临床治疗效果;临床治疗效果与分型、术中操作熟练程度及术后药物应用关系密切。OBJECTIVE To investigate clinical efficacy of endoscopic sinus surgery in treatment of sinusitis and nasal polyps and analyze the influencing factors of prognosis. METHODS 180 patients with sinusitis and nasal polyps were chosen in the period from September 2008 to June 2012 in our hospital and randomly divided into two groups including control group （90 patients） with non-surgical treatment including drugs, laser and microwave and endoscopic sinus surgery group （90 patients） with endoscopic sinus surgery; the clinical cure rate and clinical total improving efficiency of both groups were compared. RESULTS The clinical cure rate of control group and endoscopic sinus surgery group were separately 12.2%, 26.7%; The clinical total improving efficiency of control group and endoscopic sinus surgery group were separately 67.8%, 91.1%. The clinical cure rate and clinical total improving efficiency of endoscopic sinus surgery group were significantly better than control group （P﹤ 0.05）. CONCLUSION Compared with non-surgical treatment, endoscopic sinus surgery in treatment of sinusitis and nasal polyps can efficiently improve the therapeutic effects; and efficiency is closed related with typing, surgery operating proficiency and postoperative drug application.

关 键 词：鼻内镜 鼻窦炎 鼻息肉 疗效 影响因素 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]