鼻内镜手术对鼻咽癌放疗后并发鼻窦炎患者的临床治疗效果分析  

Analysis of the Clinical Treatment Effect of Nasal Endoscopic Surgery on Patients with Sinusitis Complicating Nasopharyngeal Carcinoma After Radiotherapy

作　　者：成美好 杨隆震 胡志勇[1] CHENG Meihao;YANG Longzhen;HU Zhiyong(Department of Otolaryngology,the 907th Hospital of the PLA Joint Logistic Support Force,Nanping,Fujian Province,353000 China;Department of Oral and Maxillofacial Surgery,the 907th Hospital of the PLA Joint Logistic Support Force,Nanping,Fujian Province,353000 China)

机构地区：[1]中国人民解放军联勤保障部队第九〇七医院耳鼻咽喉科,福建南平353000 [2]中国人民解放军联勤保障部队第九〇七医院口腔颌面外科,福建南平353000

出　　处：《中外医疗》2023年第4期90-94,共5页China & Foreign Medical Treatment

摘　　要：目的探讨鼻内镜手术对鼻咽癌放疗后并发鼻窦炎患者的临床治疗效果分析。方法选取2018年1月—2022年3月中国人民解放军联勤保障部队第九〇七医院收治的100例鼻咽癌放疗后并发鼻窦炎患者为研究对象,采用随机数表法分为两组,每组50例。对照组采用保守治疗,观察组采用鼻内镜手术治疗。比较两组临床治疗效果。结果观察组治疗总有效率(92.00%)高于对照组(74.00%),差异有统计学意义(χ^(2)=5.741,P<0.05)。治疗后,两组主观症状鼻塞、鼻漏、嗅觉障碍及鼻腔鼻窦结局测试量表(SNOT-20)评分均较治疗前降低,且观察组各项评分均低于对照组,差异有统计学意义(P<0.05)。结论鼻内镜手术治疗鼻咽癌放疗后并发鼻窦炎疗效可靠,能有效改善患者的主观症状,提高生活质量。Objective To investigate the clinical treatment effect analysis of nasal endoscopic surgery on patients with sinusitis complicating nasopharyngeal carcinoma after radiotherapy.Methods A total of 100 patients with nasopharyngeal carcinoma complicated with sinusitis after radiotherapy admitted to the 97th Hospital of the Chinese People's Liberation Army Joint Logistic Support Force from January 2018 to March 2022 were selected as the research objects.They were divided into two groups by random number table method,with 50 cases in each group.The control group received conservative treatment,and the observation group received nasal endoscopic surgery.The difference of clinical treatment effect between the two groups was compared.Results The total effective rate of the observation group(92.00%)was higher than that of the control group(74.00%),and the difference was statistically significant(χ2=5.741,P<0.05).After treatment,the subjective symptoms of nasal congestion,rhinorrhea,olfactory disturbance and Sino-Nasal Outcome Test-20(SNOT-20)score in the two groups were lower than before treatment,and all scores in the observation group were lower than those in the control group,the difference was statistically significant(P<0.05).Conclusion Nasal endoscopic surgery for sinusitis complicating nasopharyngeal carcinoma after radiotherapy has reliable efficacy,can effectively improve patients'subjective symptoms and improve the quality of life.

关 键 词：鼻咽癌 放射治疗 鼻窦炎 鼻内镜手术 

分 类 号：R739.63[医药卫生—肿瘤]