功能性鼻内镜手术与轮廓化鼻内镜手术治疗难治性鼻窦炎的临床分析
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摘要
目的分析难治性鼻窦炎应用功能性鼻内镜手术与轮廓化鼻内镜手术进行治疗的临床效果。方法选取2017年1月—2018年6月在该院接受诊治的84例难治性鼻窦炎患者作为研究对象,运用术式将其分为A组和B组,每组42例。A组给予功能性鼻内镜手术进行治疗,B组给予轮廓化鼻内镜手术进行治疗,对两组患者的治疗临床效果进行分析。结果治疗前两组症状积分相当[A组(48.31±5.21)分,B组(48.36±5.20)分;t=0.02,P=0.99],差异无统计学意义(P>0.05);治疗后,均得到显著改善(P<0.05),但B组(10.24±3.19)分优于A组(21.24±3.24)分,差异有统计学意义(t=6.50,P=0.00)。观察两组患者术后3、6个月和12个月的复发率发现,术后3个月(A组:0.00%,B组:0.00%),差异无统计学意义(P>0.05);术后6个月(A组:9.52%,B组:0.00%;t=4.20,P=0.04)和12个月研讨组均低于参照组(A组:14.29%,B组:2.38%;t=3.89,P=0.04),差异有统计学意义(P<0.05)。结论功能性鼻内镜手术与轮廓化鼻内镜手术治疗难治性鼻窦炎均具有一定的临床效果,但轮廓化鼻内镜手术临床效果显著较优,与功能性鼻内镜手术相比,临床疗效较高,症状积分改善效果较优,值得在临床上推广应用。
Objective To analyze the clinical effects of functional endoscopic sinus surgery and contoured endoscopic sinus surgery for refractory sinusitis. Methods Eighty-four patients with refractory sinusitis who were treated in our hospital from January 2017 to June 2018 were selected as the study subjects. They were divided into group A and group B with 42 cases in each group. Group A was treated with functional endoscopic sinus surgery, while group B was treated with contoured endoscopic sinus surgery. The clinical effects of the two groups were analyzed. Results Before treatment, the scores of symptoms in two groups were similar [group A:(48.31 ±5.21)points, group B:(48.36 ±5.20)points, t=0.02,P=0.99], the difference was not significant and had no statistical significance(P>0.05); after treatment,they were significantly improved(P<0.05), but group B(10.24±3.19)points was better than group A(21.24±3.24)points,(t=6.50, P=0.00), the difference was significant. And it has statistical significance. The recurrence rates at 3, 6 and 12 months after operation were not significantly different between the two groups(group A: 0.00%, group B: 0.00%;(P>0.05), with no significant difference and no statistical s ignificance; the recurrence rates at 6 months after operation(group A: 9.52%, group B: 0.00%; t=4.20, P=0.04) and 12 months after operation were lower than those in the study group. The control group(group A: 14.29%, group B: 2.38%; t=3.89, P=0.04), the difference was significant and statistically significant(P<0.05). Conclusion Functional endoscopic surgery and contoured endoscopic sinus surgery have certain clinical effects in the treatment of refractory sinusitis, but the clinical effect of contoured endoscopic surgery is significantly better than that of functional endoscopic surgery. The clinical curative effect is higher, the symptom score improvement effect is better, and it is worthy of popularization and application in clinic.
Objective To analyze the clinical effects of functional endoscopic sinus surgery and contoured endoscopic sinus surgery for refractory sinusitis. Methods Eighty-four patients with refractory sinusitis who were treated in our hospital from January 2017 to June 2018 were selected as the study subjects. They were divided into group A and group B with 42 cases in each group. Group A was treated with functional endoscopic sinus surgery, while group B was treated with contoured endoscopic sinus surgery. The clinical effects of the two groups were analyzed. Results Before treatment, the scores of symptoms in two groups were similar [group A:(48.31 ±5.21)points, group B:(48.36 ±5.20)points, t=0.02,P=0.99], the difference was not significant and had no statistical significance(P>0.05); after treatment,they were significantly improved(P<0.05), but group B(10.24±3.19)points was better than group A(21.24±3.24)points,(t=6.50, P=0.00), the difference was significant. And it has statistical significance. The recurrence rates at 3, 6 and 12 months after operation were not significantly different between the two groups(group A: 0.00%, group B: 0.00%;(P>0.05), with no significant difference and no statistical s ignificance; the recurrence rates at 6 months after operation(group A: 9.52%, group B: 0.00%; t=4.20, P=0.04) and 12 months after operation were lower than those in the study group. The control group(group A: 14.29%, group B: 2.38%; t=3.89, P=0.04), the difference was significant and statistically significant(P<0.05). Conclusion Functional endoscopic surgery and contoured endoscopic sinus surgery have certain clinical effects in the treatment of refractory sinusitis, but the clinical effect of contoured endoscopic surgery is significantly better than that of functional endoscopic surgery. The clinical curative effect is higher, the symptom score improvement effect is better, and it is worthy of popularization and application in clinic.
引文
[1]郭飞飞.鼻内镜下手术治疗中鼻甲形态或结构异常的慢性鼻-鼻窦炎临床效果分析[J].中国冶金工业医学杂志,2016,33(6):652-653.
[2]景鹏,王飞娟.功能性鼻内镜鼻窦手术治疗老年慢性鼻窦炎鼻息肉的临床效果和安全性分析[J].北京医学,2016,38(10):1104-1105.
[3]李玉军.功能性鼻内窥镜手术治疗慢性鼻窦炎的临床疗效及其对患者生活质量的影响[J].中国社区医师,2016,32(30):20-21.
[4]黄秋荣.对比不同评分系统对两种手术治疗难治性鼻窦炎后比较分析[J].当代医学, 2018,24(17):78-80.
[5]王明婕,林枫,张晓晴.功能性鼻内镜手术与轮廓化鼻内镜手术治疗难治性鼻窦炎的疗效分析[J].临床耳鼻咽喉头颈外科杂志,2017,31(3):185-190.
[6]余良才,马政旺,潘阳春.功能性内窥镜鼻窦术联合中鼻甲切除术治疗难治性鼻-鼻窦炎临床效果分析[J].海南医学,2016,27(2):294-296.
[7]王洪江,李培华,孙光明.功能性鼻内窥镜手术治疗138例霉菌性鼻窦炎疗效分析[J].吉林医学,2016,37(7):1587-1588.
[8]郑志华.中医序贯疗法联合功能性内镜鼻窦手术治疗慢性鼻-鼻窦炎的疗效观察[J].临床医药文献电子杂志,2017,4(10):1869-1870.
[2]景鹏,王飞娟.功能性鼻内镜鼻窦手术治疗老年慢性鼻窦炎鼻息肉的临床效果和安全性分析[J].北京医学,2016,38(10):1104-1105.
[3]李玉军.功能性鼻内窥镜手术治疗慢性鼻窦炎的临床疗效及其对患者生活质量的影响[J].中国社区医师,2016,32(30):20-21.
[4]黄秋荣.对比不同评分系统对两种手术治疗难治性鼻窦炎后比较分析[J].当代医学, 2018,24(17):78-80.
[5]王明婕,林枫,张晓晴.功能性鼻内镜手术与轮廓化鼻内镜手术治疗难治性鼻窦炎的疗效分析[J].临床耳鼻咽喉头颈外科杂志,2017,31(3):185-190.
[6]余良才,马政旺,潘阳春.功能性内窥镜鼻窦术联合中鼻甲切除术治疗难治性鼻-鼻窦炎临床效果分析[J].海南医学,2016,27(2):294-296.
[7]王洪江,李培华,孙光明.功能性鼻内窥镜手术治疗138例霉菌性鼻窦炎疗效分析[J].吉林医学,2016,37(7):1587-1588.
[8]郑志华.中医序贯疗法联合功能性内镜鼻窦手术治疗慢性鼻-鼻窦炎的疗效观察[J].临床医药文献电子杂志,2017,4(10):1869-1870.