术前鼻阻力与慢性鼻窦炎伴鼻息肉患者内窥镜术后复发的关系  

Relationship Between Preoperative Nasal Resistance and Postoperative Recurrence in Patients with Chronic Sinusitis and Nasal Polyps Undergoing Endoscopic Surgery

作　　者：李明全[1] LI Mingquan(Department of Otorhinolaryngology,the Affiliated Hospital of Xinyang Vocational and Technical College,Xinyang 464000,China)

机构地区：[1]信阳职业技术学院附属医院耳鼻咽喉科,河南信阳464000

出　　处：《河南医学研究》2024年第17期3161-3165,共5页Henan Medical Research

摘　　要：目的探讨慢性鼻窦炎伴鼻息肉患者术前鼻阻力与其内窥镜术后复发的关系。方法采用前瞻性研究,选择2020年1月至2021年12月于信阳职业技术学院附属医院耳鼻咽喉科接受内窥镜手术治疗的127例慢性鼻窦炎伴鼻息肉患者作为研究对象。术前检测患者鼻阻力,常规内窥镜手术治疗,术后随访1 a,统计患者术后复发情况,分析患者术前鼻阻力与术后复发的关系,同时绘制受试者工作特征(ROC)曲线,分析术前鼻阻力对慢性鼻窦炎伴鼻息肉患者内窥镜术后复发的预测价值。结果127例慢性鼻窦炎伴鼻息肉患者术前鼻阻力平均为(1.88±0.46)Pa·cm^(-3)·s^(-1),术后随访发现复发45例,占比35.43%。复发组与未复发组患者术后感染及吸烟情况比较,差异有统计学意义(P<0.05);复发组患者术前鼻阻力大于未复发组,差异有统计学意义(P<0.05)。经多因素logistic回归性分析,结果显示术后感染、吸烟、术前鼻阻力大是影响慢性鼻窦炎伴鼻息肉患者内窥镜术后复发的危险因素(OR>1,P<0.05)。经过点二列相关性分析,术前鼻阻力与慢性鼻窦炎伴鼻息肉患者内窥镜术后复发呈正相关关系(r>0,P<0.05)。绘制ROC曲线结果显示,术前鼻阻力预测慢性鼻窦炎伴鼻息肉患者内窥镜术后复发的曲线下面积>0.7,具有一定的预测价值。结论慢性鼻窦炎伴鼻息肉患者内窥镜术前鼻阻力越大,术后复发风险越高,可以将术前鼻阻力水平作为慢性鼻窦炎伴鼻息肉患者内窥镜术后复发的预测指标。Objective To investigate the relationship between preoperative nasal resistance and endoscopic postoperative recurrence in patients with chronic sinusitis and nasal polyps.Methods A prospective study was conducted to select 127 patients with chronic sinusitis with nasal polyps who received endoscopic surgery in Department of Otorhinolaryngology,the Affiliated Hospital of Xinyang Vocational and Technical College from January 2020 to December 2021 as the study objects.Nasal resistance of patients was detected before surgery,treated with routine endoscopic surgery,and followed up for 1 year after surgery.Postoperative recurrence of patients was counted,the relationship between preoperative nasal resistance and postoperative recurrence of patients was analyzed,and receiver operating characteristic(ROC)curve was drawn to analyze the predictive value of preoperative nasal resistance in patients with chronic sinusitis with nasal polyps after endoscopic surgery.Results The average preoperative nasal resistance of 127 patients with chronic sinusitis with nasal polyp was(1.88±0.46)Pa·cm^(-3)·s^(-1),and 45 cases(35.43%)recurred after operation.There were statistically significant differences in postoperative infection and smoking between the recurrence group and the non-recurrence group(P<0.05).Compared with non-recurrent group,the preoperative nasal resistance in the recurrent group was higher,with statistical significant differences(P<0.05).Multivariate logistic regression analysis showed that postoperative infection,smoking and preoperative nasal resistance were the risk factors for the recurrence of chronic sinusitis with nasal polyps after endoscopic surgery(OR>1,P<0.05).By point two-column correlation analysis,preoperative nasal resistance was positively correlated with endoscopic recurrence in patients with chronic sinusitis and nasal polyps(r>0,P<0.05).ROC curve results showed that preoperative nasal resistance predicted the area under the curve>0.7 in patients with chronic sinusitis with nasal polyps after endos

关 键 词：慢性鼻窦炎 鼻息肉 鼻阻力 内窥镜手术 复发 预测 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]