嗅觉障碍患者鼻内镜手术前后鼻气道阻力分析  

Analyses of the olfactory disorder patients′nasal airway resistance before and after endoscopic sinus surgery

作　　者：程慧娟[1,2] 赵玉林[1] 马菲[1] 陈安[1] 张亚倩[1] 

机构地区：[1]郑州大学第一附属医院鼻科,郑州450052 [2]郑州市儿童医院耳鼻咽喉科,郑州450053

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第17期952-954,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨嗅觉障碍患者鼻内镜手术前后鼻气道阻力变化及嗅觉恢复情况。方法:采用五味试嗅液检查法和前鼻测压法对105例伴有嗅觉障碍的慢性鼻-鼻窦炎、鼻息肉患者的嗅觉功能及鼻气道阻力进行测试,并按照术前嗅觉障碍程度及术后嗅觉恢复情况进行分组。结果:术前患者嗅觉障碍程度随着临床分期增高呈现出加重的趋势,术后6个月嗅觉改善情况临床分期较低及术前嗅觉障碍较轻者恢复情况较好;手术后3组嗅觉功能障碍程度不同的患者与术前相比鼻气道阻力均降低,术前嗅觉障碍程度不同及术后嗅觉恢复情况不同的患者之间术后鼻气道阻力无差别。结论:鼻内镜手术能降低嗅觉障碍患者术后鼻气道阻力,结合鼻气道阻力能进一步综合评价嗅觉障碍患者鼻内镜手术的疗效。Objective：To explore the changes of nasal airway r ~sistance （NAR） and olfactory recovery in pa- tients with olfactory disorder before and after endoscopic sinus surgery. Method： Olfactory functions and NAR in 105 patients with olfactory disorder diagnosed as chronic rhino-sinusitis and/or nasal polyps were measured with five taste test olfactory liquid and anterior rhinomanometry. The patients were grouped according to their olfactory disturbance degree before the surgery and recovery of olfaction after the surgery. Result： Before the surgery, the degree of olfactory disorder were accompanied with varied clinic classifications. Six months after the surgery, the patients whose conditions were less serious before surgery recovered better. Before and after the surgery, signifi cant difference of the nasal airway resistance was found between the three-groups whose olfactory disorder degree were different. After the surgery, no difference was found of the nasal airway resistance between the three-groups whose olfactory disorder degree were different before the surgery and the recovery of olfaction degree were differ- ent after the surgery. Conclusion,. Endoscopic sinus surgery can decrease the nasal airway resistance of patients with olfactory disorder. We can evaluate the efficacy of endoscopic sinus surgery more objectively combined with nasal airway resistance analysis.

关 键 词：嗅觉障碍 鼻内镜手术 鼻气道阻力 

分 类 号：R736.4[医药卫生—肿瘤]