鼻内镜手术治疗慢性鼻窦炎患者的临床效果观察  

Clinical Effect of Nasal Endoscopic Surgery in the Treatment of Chronic Sinusitis

作　　者：李付国 

机构地区：[1]湖北省孝感市第一人民医院,湖北孝感432000

出　　处：《中国医学创新》2016年第34期122-125,共4页Medical Innovation of China

基　　金：湖北省卫生厅科研基金项目(JX2C42)

摘　　要：目的:研究鼻内镜手术治疗慢性鼻窦炎患者的临床效果。方法:选取2014年3月-2016年3月在本院慢性鼻窦炎患者100例,根据随机数字表法分为鼻内镜组和传统径路组两组,每组各50例。传统径路组采取传统经鼻外径路手术治疗,鼻内镜组采取鼻内镜手术治疗。两组患者慢性鼻窦炎治疗总有效率、临床复发率、鼻中隔和下鼻甲粘连、眶周软组织淤血、上颌窦开口狭窄等并发症发生率、术前术后生活质量进行比较。结果:鼻内镜组慢性鼻窦炎治疗总有效率98.00%明显高于传统径路组78.00%,两组比较差异有统计学意义(P<0.05)。鼻内镜组临床复发率2.00%,鼻中隔和下鼻甲粘连、眶周软组织淤血、上颌窦开口狭窄等并发症发生率4.00%低于传统径路组复发率20.00%,并发症发生率16.00%,两组比较差异均有统计学意义(P<0.05)。两组术前生活质量比较差异无统计学意义(P>0.05),术后鼻内镜组生活质量(92.02±5.53)分明显优于传统径路组(82.98±4.72)分,两组比较差异有统计学意义(P>0.05)。结论:鼻内镜手术治疗慢性鼻窦炎患者的临床效果确切,具有微创性、安全性,术中损伤小,可确切改善患者临床症状,减少并发症的发生,降低复发率,改善患者生活质量,值得推广应用。Objective： To study the clinical effect of nasal endoscopic surgery in the treatment of patients with chronic sinusitis.Method： 100 cases of chronic sinusitis in our hospital from March 2016 to March 2014 were selected and divided into two groups according to the random number table, 50 cases of nasal endoscopic group and 50 cases in the traditional path group.Traditional route group was treated by traditional external nasal surgery, nasal endoscopic group was treated with nasal endoscopic surgery.The chronic sinusitis treatment total efficiency, clinical relapse rate, nasal septum and inferior turbinate adhesions, periorbital soft tissue congestion, maxillary sinus ostium stenosis and other complications, and quality life before and after surgery of two groups were compared. Result： The total effective rate of the nasal endoscopic group was 98.00% significantly higher than that of the traditional path group of 78.00%, the difference was statistically significant （ P〈0.05 ） .The nasal endoscopic group of clinical relapse rate was 2.00% and nasal septum and inferior turbinate adhesions, periorbital soft tissue congestion, maxillary sinus ostium stenosis and other complications was 4.00% lower than those of traditional path group 20.00% and 16.00%, the differences were statistically significant （ P〈0.05 ） .There were no significant differences in quality of life between the two groups before operation （ P〉0.05 ） .The quality of life in nasal endoscopic group was （ 92.02 ± 5.53 ） points significantly better than that of traditional path group （ 82.98 ± 4.72 ） points, the difference was statistically significant （P〈0.05） .Conclusion： The clinical effect of endoscopic surgery for chronic sinusitis patients with minimally invasive, accurate, safety, operative trauma, clinical symptoms improve patients, it reduces complications and recurrence rate, improves the quality of life of patients, it is worthy of popularization and application.

关 键 词：鼻内镜手术 慢性鼻窦炎患者 临床效果 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]