规律性鼻内镜处理对鼻咽癌放疗后鼻-鼻窦并发症的效果观察  

Evaluation of the effect of regular nasal endoscopic follow-up treatment on nasal-nasal sinus complications after radiotherapy for nasopharyngeal cancer

作　　者：柳淑洪[1] 彭军[1] 唐立滨[1] 杨艳侠[1] 张立杰[1] 张卫朋 LIU Shuhong;PENG Jun;TANG Libin;YANG Yanxia;ZHANG Lijie;ZHANG Weipeng(Department of Otolaryngology,Tangshan People's Hospital,Tangshan 063000,China)

机构地区：[1]河北省唐山市人民医院耳鼻咽喉科,063000

出　　处：《中国煤炭工业医学杂志》2023年第6期645-648,共4页Chinese Journal of Coal Industry Medicine

基　　金：2024年度河北省医学科学研究课题计划(编号:20241591)。

摘　　要：目的观察规律性鼻内镜处理对鼻咽癌放疗后鼻-鼻窦并发症的效果。方法选取2018年1月—2021年3月唐山市人民医院收治的64例鼻咽癌放疗后患者进行回顾性分析,按是否行规律性鼻内镜处理将其分为观察组与对照组,每组32例。二组均给予鼻腔冲洗,对照组患者根据症状鼻内镜处理,观察组给予个体化规律性鼻内镜处理。比较二组患者鼻-鼻窦并发症发生率、生存质量(SNOT-22评分)改善效果。结果规律性鼻内镜处理的观察组并发症发生率为25%,对照组并发症发生率为62.5%,观察组并发症发生率低于对照组,差异有统计学意义(P<0.05);观察组的生存质量SNOT-22评分(40.94±7.39)低于对照组(47.34±6.08),差异有统计学意义(P<0.05)。结论规律性鼻内镜处理能降低鼻咽癌放疗后鼻-鼻窦并发症发生率、提高患者生存质量。Objective To observe the effect of regular nasal endoscopic treatment on nasal-nasal sinus complications after radiotherapy for nasopharyngeal carcinoma.Methods Sixty-four radiotherapy patients admitted to Tangshan People's Hospital from January 2018 to March 2021 were selected for retrospective analysis.They were divided into observation group and control group according to whether they underwent regular nasal endoscopic treatment,with thirty-two cases in each group.Both groups were given nasal irrigation.Patients in the control group were treated with nasal endoscopy according to the symptoms,and the observation group were treated with individualized regular nasal endoscopy.Compare the improvement effect of the incidence of nasal-nasal sinus complications and quality of life(SNOT-22 score)in the second group of patients.Results The complication rate of the observation group was 25% in the observation group and 62.5% in the control group was lower than the control group,and the difference was statistically significant(P<0.05);the SNOT-22 score of(40.94±7.39)was lower than the control group and(47.34±6.08),respectively(P<0.05).Conclusion Regular nasal endoscopy treatment can reduce the incidence of nasal-snasal sinus complications and improve the quality of life of patients after radiotherapy for nasopharyngeal cancer.

关 键 词：鼻咽癌 放疗 鼻-鼻窦 鼻内镜 

分 类 号：R739.63[医药卫生—肿瘤]