鼻甲不同的处理方式对慢性鼻窦炎内镜手术疗效的影响  

Effect of different treatments of the turbinate on efficacy of nasal endoscopic surgery for chronic sinusitis

作　　者：王旭[1] 朱晓燕[1] 郭清华[1] 杨明[1] 何新亚[1] 

机构地区：[1]南京中医药大学附属南京市中西医结合医院耳鼻喉科,江苏省210014

出　　处：《江苏医药》2015年第24期2967-2969,共3页Jiangsu Medical Journal

摘　　要：目的探讨鼻甲不同的处理方式对慢性鼻窦炎内镜手术疗效的影响。方法慢性鼻窦炎患者93例,分别行中鼻甲成形术(A组,49例)和中鼻甲部分切除术(B组,44例),比较两组治疗有效率、中鼻甲形态恢复正常率、患者满意度及嗅觉改善率。结果 A组患者的治疗有效率、中鼻甲形态恢复正常率和患者满意度均高于B组(91.8%vs.81.8%、91.8%vs.65.9%和91.8%vs.65.9%)(P<0.05)。A、B两组嗅觉改善率差异无统计学意义(81.6%vs.77.3%)(P>0.05)。结论采用中鼻甲成形术可提高慢性鼻窦炎患者内镜手术疗效,防止术后粘连,并促使患者的鼻腔更快上皮化,有助于患者中鼻甲的形态恢复正常。Objective To observe the effect of different treatments of the turbinate on the efficacy of nasal endoscopic surgery for chronic sinusitis. Methods A total of 93 patients with chronic sinusitis was divided into two groups of A（treated with middle conchoplasty,49 cases） and B（treated with partial middle turbinectomy, 44 cases）. The efficacy, recovery rate of middle turbinate morphology,satisfactory degree and smell improvement rate of two groups were compared. Results The efficacy,recovery rate of middle turbinate morphology and satisfactory degree were significantly higher in group A than those in group B（91.8% vs. 81.8%, 91.8% vs. 65.9% and 91.8% vs. 65.9%） （P〈0. 05）. The smell improvement rate was not significantly different between groups of A and B（81.6% vs. 77.30%） （P〉0. 05）. Conclusion The implementation of middle conchoplasty can improve the efficacy of nasal endoscopic surgery, prevent postoperative adhesion and promote epithelialization in the patients with chronic sinusitis.

关 键 词：鼻甲 鼻内镜手术 

分 类 号：R765[医药卫生—耳鼻咽喉科]