鼻内窥镜术与传统鼻窦手术对鼻窦炎鼻息肉患者鼻腔通气及嗅觉恢复的影响探讨  

Effects of Nasal Endoscopy and Traditional Sinus Surgery on Nasal Venti⁃lation and Olfactory Recovery in Patients with Rhinosinusitis and Nasal Polyps

作　　者：巫立辉 张延兴 邱平松 WU Lihui;ZHANG Yanxing;QIU Pingsong(Ninghua County General Hospital,Sanming,Fujian Province,365400 China)

机构地区：[1]福建省宁化县总医院,福建三明365400

出　　处：《中外医疗》2024年第6期37-40,共4页China & Foreign Medical Treatment

摘　　要：目的对比鼻内窥镜术与传统鼻窦手术治疗鼻窦炎鼻息肉的临床效果。方法回顾性选取2021年7月—2023年6月福建省宁化县总医院收治的80例鼻窦炎鼻息肉患者的临床资料,按照不同手术方式,分为对照组与干预组,各40例。对照组行传统手术,干预组行鼻内窥镜术。对比两组手术指标,评定鼻腔通气功能及嗅觉损伤程度。结果干预组患者的手术和住院时间短于对照组、术中失血量少于对照组,差异有统计学意义(P均<0.05)。干预组患者鼻腔容积和鼻腔最小截面积增大、鼻气道总阻力减小,各指标均优于对照组(P均<0.05)。干预组患者的嗅觉功能轻度损伤比例(10.00%)低于对照组(32.50%),差异有统计学意义(χ^(2)=6.050,P<0.05)。结论鼻内窥镜术治疗鼻窦炎鼻息肉的疗效确切,能加快恢复速度,进一步改善鼻腔通气和嗅觉功能。Objective To compare the clinical effects of nasal endoscopy and traditional sinus surgery in the treatment of rhinosinusitis and nasal polyps.Methods The clinical data of 80 patients with rhinosinusitis and nasal polyps admit-ted to Ninghua County General Hospital of Fujian Province from July 2021 to June 2023 were retrospectively selected.According to different surgical methods,they were divided into control group and intervention group,with 40 cases in each group.The control group received traditional operation,and the intervention group received nasal endoscopy.The surgical indicators were compared between the two groups.The nasal ventilation function and the degree of olfactory injury were evaluated.Results The duration of operation and hospitalization in the intervention group were shorter than those in the control,the intraoperative blood loss was less than that in the control group,and the differences were statistically significant(all P<0.05).The nasal volume and minimum cross-sectional area of the nasal cavity increased and the total nasal airway resistance decreased in the intervention group,all the items were better than those in the control group,and the differences were statistically significant(all P<0.05).The proportion of patients with mild im-pairment of olfactory function in the intervention group(10.00%)was lower than that in the control group(32.50%),and the difference were statistically significant(χ^(2)=6.050,P<0.05).Conclusion Nasal endoscopy for the treatment of rhinosinusitis and nasal polyps is effective,can accelerate the recovery speed,and further improve the nasal ventila-tion and olfactory function.

关 键 词：鼻窦炎鼻息肉 鼻内窥镜术 通气功能 嗅觉 

分 类 号：R765.2[医药卫生—耳鼻咽喉科]