慢性鼻窦炎鼻内镜术后嗅觉功能转归的研究进展  

Research progress on the olfactory function outcomes after endoscopic sinus surgery for chronic rhinosinusitis

作　　者：徐秀钦 赵琪余 沈暘[1] 杨玉成[1] 洪苏玲[1] 柯霞[1] XU Xiuqin;ZHAO Qiyu;SHEN Yang;YANG Yucheng;HONG Suling;KE Xia(Department of Otolaryngology Head and Neck Surgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院耳鼻咽喉头颈外科,重庆400016

出　　处：《中国耳鼻咽喉颅底外科杂志》2025年第1期36-41,共6页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：重庆市中青年医学高端人才项目(2020-219);重庆医科大学未来医学青年创新团队发展支持计划项目(W0157)。

摘　　要：嗅觉功能障碍是慢性鼻窦炎(CRS)患者就诊时的常见主诉之一,不仅会降低患者的生活质量,甚至会引起焦虑和抑郁等不良情绪的发生。内镜鼻窦手术(ESS)在慢性鼻窦炎的治疗中具有重要的地位,国内外大量研究表明,ESS对伴嗅觉功能障碍的CRS患者嗅觉改善的有效率为25%~100%,变化范围较大,而影响CRS患者嗅觉功能的各项主客观指标也是临床所关注的问题。本文旨在对CRS患者鼻内镜术后嗅觉功能转归的影响因素的研究进展进行综述,以期对临床治疗提供帮助。Olfactory dysfunction is one of the common complaints of patients with chronic rhinosinusitis(CRS).Olfactory dysfunction not only reduces the patient’s quality of life,but even cause adverse emotions such as anxiety and depression.Endoscopic Sinus Surgery(ESS)has an important role in the treatment of CRS.A large number of studies at home and abroad have shown that the effective rate of ESS for olfactory improvement in CRS patients with olfactory dysfunction ranges from 25%to 100%,with a wide range of variation.Moreover,various subjective and objective indicators affecting the olfactory function of CRS patients are also issues of clinical concern.This paper reviews the research progress on the factors influencing olfactory function after nasal endoscopic surgery in CRS patients.The aims to provide assistance for clinical treatment of CRS.

关 键 词：慢性鼻窦炎 鼻息肉 内镜鼻窦手术 嗅觉功能 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]