鼻内镜治疗非侵袭性真菌性鼻窦炎的安全性及有效性  

Safety and efficacy of nasal endoscopy in the treatment of non-invasive fungal sinusitis

作　　者：杨志敏 闫翠 张鹏 YANG Zhimin;YAN Cui;ZHANG Peng(Department of Otolaryngology,First People's Hospital of Xiaogan,Xiaogan,Hubei,432000,China)

机构地区：[1]孝感市第一人民医院耳鼻喉科,湖北孝感432000

出　　处：《当代医学》2022年第27期43-46,共4页Contemporary Medicine

摘　　要：目的探讨鼻内镜治疗非侵袭性真菌性鼻窦炎的安全性及有效性。方法回顾性分析2018年3月至2020年1月本院收治的93例非侵袭性真菌性鼻窦炎患者的临床资料,依据平衡序贯法分为对照组(n=45)和观察组(n=48)。对照组给予传统手术治疗,观察组给予鼻内镜治疗,比较两组临床疗效、嗅觉功能、鼻腔气道阻力、疼痛及术后并发症发生情况。结果观察组治疗总有效率为95.8%,高于对照组的80.0%,差异有统计学意义(P<0.05)。术前,两组康乃狄克化学感觉临床研究中心嗅功能检查法(CCCRC)评分、鼻腔气道阻力比较差异无统计学意义;术后1、3个月,观察组CCCRC评分均高于对照组,鼻腔气道阻力均小于对照组,差异有统计学意义(P<0.05)。术前,两组视觉模拟评分法(VAS)评分比较差异无统计学意义;术后1、2、3个月,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率为2.1%,低于对照组的15.6%,差异有统计学意义(P<0.05)。结论鼻内镜治疗非侵袭性真菌性鼻窦炎效果显著,可减小鼻腔气道阻力,降低患者术后疼痛程度及术后并发症发生率。Objective To investigate the safety and efficacy of nasal endoscopy in the treatment of non-invasive fungal sinusitis.Methods A total of 93 patients with non-invasive fungal sinusitis admitted to our hospital from March 2018 to January 2020 were retrospectively analyzed,and they were divided into the control group(n=45)and the observation group(n=48)according to the balanced sequential method.The control group was treated with traditional surgery,and the observation group was treated with nasal endoscopy,the clinical efficacy,olfactory function,nasal airway resistance,pain and postoperative complications were compared between the two groups.Results The total effective rate of the observation group was 95.8%,which was higher than 80.0%in the control group,and the difference was statistically significant(P<0.05).Before operation,there was no significant difference in the connecticut chemosensory clinical research center(CCCRC)score and nasal airway resistance between the two groups;at 1 and 3 months after operation,the scores of CCCRC in the observation group were higher than that in the control group,and the nasal airway resistance were lower than that in the control group,and the differences were statistically significant(P<0.05).Before operation,there was no significant difference in visual analogue scale(VAS)scores between the two groups;at 1,2,and 3 months after surgery,the scores of VAS in the observation group were lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 2.1%,which was lower than 15.6%in the control group,and the difference was statistically significant(P<0.05).Conclusion Nasal endoscopic is effective in the treatment of non-invasive fungal sinusitis,which can reduce nasal airway resistance,the degree of postoperative pain and the incidence of postoperative complications.

关 键 词：鼻内镜术式 传统手术 非侵袭性真菌性鼻窦炎 疼痛 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]