筛窦骨质病理形态学改变对鼻内镜手术治疗CRS效果的影响  

Impacts of changes in ethmoid bone pathology on effects of treatment of CRS with nasal endoscopic surgery

作　　者：简洁君[1] 伍启刚[1] 李妮[1] 

机构地区：[1]湖北医药学院附属太和医院耳鼻咽喉头颈外科,湖北十堰442000

出　　处：《西南国防医药》2016年第12期1489-1491,共3页Medical Journal of National Defending Forces in Southwest China

摘　　要：目的探讨筛窦骨质病理学形态改变对鼻内镜手术治疗慢性鼻-鼻窦炎(CRS)的影响。方法选取医院收治的CRS患者87例,均采用鼻内镜手术治疗,分析不同Biedlingmaier分级患者的手术疗效及术后并发症发生率。结果按病理形态统计,分级为Ⅲ级患者数量最多为28例(32.18%),依次为Ⅳ级24例(27.59%)、Ⅱ级20例(22.99%)、Ⅰ级15例(17.24%);病理分级越高的患者手术疗效越差(P<0.05),但不同病理分级患者的术后并发症发生率无统计学差异(P>0.05)。结论CRS患者存在一定的筛窦骨质病理形态学改变,Biedlingmaier分级越高,则鼻内镜手术的治疗效果越差。应尽早地对CRS进行诊断和治疗,防止筛窦病理形态学的持续改变影响鼻内镜手术治疗效果。Objective To explore the impacts of changes in ethmoid bone pathology on effects of the treatment of chronic rhinosinusitis （CRS） with nasal endoscopic surgery. Methods A total of 87 CRS patients admitted to our hospital were selected and treated with nasal endoscopic surgery to analyze the efficacy and incidence of postoperative complications on the patients in different Biedlingmaier grades, Results The morphological analysis showed that grade m patients had the largest number of 28 （32.18%）, followed by grade IV of 24 （27.59%）, grade II of 20（22.99%） and grade I of 15（17.24%）; the operative effects on the patients in higher pathological grade was poorer （P 〈 0.05）; the difference in the incidence of complications in the patients in different pathological grades had no statistical significance（P 〉 0.05）. Conclusion CRS patients have certain changes in bone morphology of ethmoid sinus. The higher the Biedlingmaier grade is, the poorer efficacy of nasal endoscopic surgery will be. CRS should be diagnosed and treated as soon as possible to prevent the continuous changes in pathological morphology of ethmoid sinus from affecting the efficacy of nasal endoscopic surgery.

关 键 词：慢性鼻-鼻窦炎 筛窦骨质 病理形态学 鼻内镜手术 疗效 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]