筛窦骨质病理形态学改变对鼻内镜手术治疗慢性鼻-鼻窦炎的效果  

Investigation on the impacts of pathomorphological changes of ethmoid bone on the therapeutic efficacy of endoscopic sinus surgery for chronic rhinosinusitis

作　　者：张玉玲 卢佳佳 陈倩 ZHANG Yuling;LU Jiajia;CHEN Qian(Department of Otorhinolaryngology,People's Hospital in Jiangdu District of Yangzhou City,Jiangsu,Yangzhou 225200,China)

机构地区：[1]江苏省扬州市江都人民医院耳鼻喉科,江苏扬州225200

出　　处：《中国医药科学》2021年第14期217-219,共3页China Medicine And Pharmacy

摘　　要：目的探析筛窦骨质病理形态学改变对慢性鼻-鼻窦炎(CRS)患者应用鼻内镜手术治疗效果的影响。方法选取2017年1月至2019年1月在扬州市江都人民医院耳鼻喉科治疗的95例CRS患者为研究对象,根据Biedlingmaier分级进行分组,分别为Ⅰ级组(n=17)、Ⅱ级组(n=22)、Ⅲ级组(n=30)、Ⅳ级组(n=26),所有患者均给予鼻内镜手术治疗,以患者临床疗效、手术时间、术中出血量、并发症发生率为观察指标,对两组观察结果予以统计比较。结果在临床总有效率方面,Ⅰ级组为100.00%,Ⅱ级组为81.82%,Ⅲ级组为66.67%,Ⅳ级组为50.00%,比较差异有统计学意义(P<0.05)。在手术时间、术中出血量方面,Ⅰ级组为(37.29±5.58)min、(43.16±6.89)ml,Ⅱ级组为(50.25±7.65)min、(61.12±8.65)ml,Ⅲ级组为(72.28±9.85)min、(106.15±12.68)ml,Ⅳ级组为(105.15±12.48)min、(156.93±20.65)ml,比较差异有统计学意义(P<0.05)。在并发症发生率方面,Ⅰ级组为5.88%,Ⅱ级组为9.09%,Ⅲ级组为10.00%,Ⅳ级组为11.54%,比较差异无统计学意义(P>0.05)。结论CRS患者伴有筛窦骨质病理形态学改变,Biedlingmaier分级越高,手术效果越差,手术时间越长,术中出血量越大,为此,应尽早对CRS患者予以治疗,以取得理想的临床疗效。Objective To investigate the impacts of pathomorphological changes of ethmoid bone on the therapeutic efficacy of endoscopic sinus surgery in patients with chronic rhinosinusitis(CRS).Methods A total of 95 patients with CRS treated in the department of otorhinolaryngology of People's Hospital in Jiangdu District of Yangzhou City from the time period of January 2017 to January 2019 were selected.They were divided into the levelⅠgroup(n=17),the levelⅡgroup(n=22),the levelⅢgroup(n=30)and the levelⅣgroup(n=26)according to Biedlingmaier classification.All patients were treated with endoscopic sinus surgery.The clinical efficacy,operation time,intraoperative hemorrhage volume and incidence of complications were taken as observation indices,and the observation results of the four groups were statistically compared.Results In the aspects of clinical total effective rate,the levelⅠgroup was 100.00%,the levelⅡgroup was 81.82%,the levelⅢgroup was 66.67%and the levelⅣgroup was 50.00%,with statistically significant differences(P<0.05).In the aspects of operation time and intraoperative hemorrhage volume,the levelⅠgroup was(37.29±5.58)min,(43.16±6.89)ml,the levelⅡgroup was(50.25±7.65)min,(61.12±8.65)ml,the levelⅢgroup was(72.28±9.85)min,(106.15±12.68)ml,the levelⅣgroup was(105.15±12.48)min,(156.93±20.65)ml,with statistically significant differences(P<0.05).In the aspects of incidence of complications,the levelⅠgroup was 5.88%,the levelⅡgroup was 9.09%,the levelⅢgroup was 10.00%and the levelⅣgroup was 11.54%,without statistically significant differences(P>0.05).Conclusion Patients with CRS are accompanied by pathomorphological changes of ethmoid bone.The higher the Biedlingmaier classification,the worse the operation effect,the longer the operation time and the higher the intraoperative hemorrhage volume.Therefore,CRS patients should be treated as early as possible to achieve ideal clinical efficacies.

关 键 词：筛窦骨质 病理形态学 慢性鼻-鼻窦炎 鼻内镜手术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]