修正性鼻内镜手术治疗难治性慢性鼻窦炎鼻息肉的治疗价值研究  

Study on the Therapeutic Value of Modified Endoscopic Sinus Surgery in the Treatment of Refractory Chronic Sinusitis and Nasal Polyps

作　　者：曹黎黎 CAO Lili(Department of Otorhinolaryngology,Tengnan Hospital,Zaozhuang Mining Group,Jining,Shandong Province,277606 China)

机构地区：[1]枣庄矿业集团滕南医院耳鼻咽喉科,山东济宁277606

出　　处：《中外医疗》2022年第6期62-65,共4页China & Foreign Medical Treatment

摘　　要：目的分析难治性慢性鼻窦炎鼻息肉行修正性鼻内镜手术治疗的效果。方法方便选择2020年8月—2021年8月该院94例难治性慢性鼻窦炎鼻息肉患者,入院后均行抽签处理,分为修正组和一般组,每组47例,修正组行修正性鼻内镜手术,一般组行一般性手术,比较两组鼻腔病变症状积分、并发症、治疗有效性、鼻腔恢复情况。结果术后,修正组鼻腔恢复情况优于一般组,差异有统计学意义(P<0.05)。修正组并发症发生率(6.38%)低于一般组(21.28%),差异有统计学意义(χ^(2)=4.374,P=0.037)。修正组鼻腔病变治疗有效率(95.74%)高于一般组(76.59%),差异有统计学意义(χ^(2)=7.231,P=0.007)。术前,两组鼻腔病变的症状积分及总分差异无统计学意义(P>0.05);术后,修正组病变的症状积分及总分均低于一般组,差异有统计学意义(P<0.05)。结论修正性鼻内镜手术可推广,能加速鼻腔功能的恢复,可减轻鼻腔不适感,还能预防各鼻腔并发症,对鼻腔病变的有效性高。Objective To analyze the effect of modified endoscopic sinus surgery on refractory chronic sinusitis and nasal polyps.Methods From August 2020 to August 2021,94 patients with refractory chronic sinusitis and nasal polyps in the hospital were conveniently selected.After admission,they were all treated by lottery and divided into modified group and general group,with 47 cases in each group.The modified group underwent modified endoscopic sinus surgery and the general group underwent general surgery.The symptom scores,complications,treatment effectiveness and nasal recovery of the two groups were compared.Results After the operation,the nasal cavity recovery of the modified group was better than that of the general group,and the difference was statistically significant(P<0.05).The complication rate of the modified group(6.38%)was lower than that of the general group(21.28%),and the difference was statistically significant(χ^(2)=4.374,P=0.037).The effective rate(95.74%)of nasal cavity lesions in the modified group was higher than that of the general group(76.59%),and the difference was statistically significant(χ^(2)=7.231,P=0.007).Before surgery,there was no statistically significant difference in the symptom scores and total scores of nasal cavity lesions between the two groups(P>0.05);after the operation,the symptom score and total score of the modified group were lower than those of the general group,the difference was statistically significant(P<0.05).Conclusion Corrective endoscopic nasal surgery can be promoted,which can accelerate the recovery of nasal cavity function and reduce nasal discomfort.It can also prevent various nasal cavity complications and is highly effective for nasal cavity lesions.

关 键 词：慢性鼻窦炎鼻息肉 治疗价值 恢复情况 症状积分 有效性 修正性鼻内镜手术 

分 类 号：R4[医药卫生—临床医学]