功能性鼻内镜鼻窦手术与腺样体切除术治疗210例儿童慢性鼻窦炎的疗效分析  

The Clinical Research on Surgical Treatment Methods of Children with Chronic Sinusitis

作　　者：王再兴[1] 赵海亮[1] 刘智献[1] 蓝建平[1] 

机构地区：[1]深圳市龙岗中心医院耳鼻咽喉科医院,广东深圳518116

出　　处：《中外医学研究》2014年第32期24-25,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨儿童慢性鼻窦炎的手术治疗方式及临床疗效。方法:选取笔者所在医院2010年1月-2014年1月收治的210例鼻窦炎2、3期的患儿作为研究对象,按照随机数字表法将其分为观察组和对照组各105例。观察组采用功能性鼻内镜鼻窦手术,对照组采用腺样体切除术。经过5个月随访,观察比较两组患儿的临床疗效及不良反应发生情况。结果:观察组的治疗总有效率98.10%明显高于对照组的89.52%,差异有统计学意义(字2=6.64,P=0.01),对照组出现1例中鼻甲与鼻腔外侧壁粘连,术后复查时矫正。两组其余患儿均未发生不良反应。结论:采用功能性鼻内镜鼻窦手术治疗儿童慢性鼻窦炎2、3期的临床效果良好,值得临床推广。Objective：To explore the surgical treatment and clinical curative effect of chronic sinusitis in children.Method：210 children with chronic sinusitis in our hospital from January 2010 to January 2014 were selected as research objects,they were randomly divided into the observation group and the control group,105 cases in each group.The observation group was given functional nasal endoscopic sinus surgery,the control group was given adenoidectomy.After 5 months of follow-up,the clinical curative effect and adverse reactions between two groups were observed and compared.Result：The total effective rate of observation group was 98.10%,it was significantly higher than 89.52%of control group,the difference was statistically significant（χ^2=6.64,P=0.01）.The control group had 1 case of inferior turbinate and nasal lateral wall adhesion and corrected in the postoperative review.The remaining of two groups patients had no adverse reaction.Conclusion：The clinical effect of using functional endoscopic sinus operation for treatment of children with chronic sinusitis in 2,3 stage is good,is worthy of clinical promotion.

关 键 词：儿童慢性鼻窦炎 手术治疗 术式 疗效 

分 类 号：R762[医药卫生—耳鼻咽喉科]