初次鼻内镜手术与修正性鼻内镜手术对慢性鼻窦炎伴鼻息肉患者生活质量的影响  

Effects of primary and revision endoscopic sinus surgery on quality of life in patients who had chronic rhinosinusitis with nasal polyps

作　　者：王雪松[1] 薛金梅[2] 赵长青[2] 杨阳[1] 

机构地区：[1]山西医科大学研究生学院,太原030001 [2]山西医科大学第二医院耳鼻咽喉科

出　　处：《中国药物与临床》2013年第5期559-561,共3页Chinese Remedies & Clinics

基　　金：山西省卫生厅青年项目(201201080)

摘　　要：目的探究初次鼻内镜手术(PESS)与修正性鼻内镜手术(RESS)对于慢性鼻窦炎伴鼻息肉(CRSwNP)患者生活质量的影响。方法对120例CRSwNP患者(其中97例患者行PESS术、23例患者行RESS术)进行术前、术后12个月追踪调查,采用Lund-Mackay评分、Lanza-Kennedy评分和汉化版鼻腔鼻窦结局测试(SNOT)20量表对2组患者进行主客观评价。结果 2组术前Lund-Mackay平均评分差异无统计学意义(P>0.05)。2组术前、术后12个月患者的Lund-Kennedy和SNOT20评分均降低,差异具有统计学意义(P均<0.05)。结论行PESS手术对于改善患者生活质量程度比RESS手术要好。不管是RESS还是PESS,功能性鼻内镜下鼻息肉切除术都是一种有效改善患者生活质量的方法。Objective To investigate the difference in primary （PESS） and revision endoscopic sinus surgery （RESS） on quality of life in patients who had chronic rhinosinusitis with nasal polyps （CRSwNP）. Methods We fol- lowed up a total of 120 patients with CRSwNP （97 underwent RESS and 23 PESS） preoperatively and at month 12 postoperatively. Objective and subjective assessments, i.e. Lund-Mackay scale, Lanza-Kennedy scale, and the Chinese version of Sino-nasal outcome test-20 （SNOT-20）, were compared. Results The difference in Lund-Mackay scale was unremarkable preoperatively （P〉0.05）. Both PESS and RESS yielded a reduction in Lanza-Kennedy scale and SNOT- 20 score at month 12 postoperatively （both P〈0.05）. Conclusion PESS is associated with preferable outcomes in terms of quality of life. Functional endoscopic nasal polyp resection, by PESS or RESS, is an effective approach to im- orove oatient＇s quality of life.

关 键 词：鼻窦炎 鼻内镜手术 鼻息肉 生活质量 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]