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效果研究
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摘要
目的难治性鼻窦炎患者通过功能性鼻内镜手术(FESS)与轮廓化鼻内镜手术(RSS)进行治疗,将两种方法的治疗效果进行研究分析。方法对该院在2017年1月—2018年1月,这一期间内收治的患者随机抽取出60例,把他们当成该次研究的研究目标,根据患者的治疗方法进行分组,划分成观察组和对照组,两组均由30例患者所构成。观察组患者通过轮廓化鼻内镜手术进行治疗,对照组患者通过功能性鼻内镜手术进行治疗,对两组患者的VAS评分、鼻内镜Lund-Kennedy评分、鼻窦CT Lund-Mackay评分进行严格比较,对两组患者的治疗总有效率进行比较分析。结果观察组患者的VAS评分为(1.36±0.68)分,对照组患者的VAS评分为(3.01±0.87)分,观察组患者的鼻内镜Lund-Kennedy评分与鼻窦CT Lund-Mackay评分分别为:(4.5±1.0)分、(7.3±1.2)分,对照组患者的鼻内镜Lund-Kennedy评分与鼻窦CT Lund-Mackay评分分别为:(5.6±1.1)分、(9.0±1.4)分,两组各评分差异有统计学意义(t=5.659 4,6.542 8,5.359 2,P<0.05);观察组患者的治疗总有效率为96.7%(29/30),对照组患者的治疗总有效率为70.0%(21/30),两组患者的治疗有效率差异有统计学意义(χ~2=16.259 4,P<0.05)。结论难治性鼻窦炎患者通过功能性鼻内镜手术(FESS)与轮廓化鼻内镜手术(RSS)进行治疗,轮廓化鼻内镜手术的治疗效果更加优良,各症状均能得到缓解,值得在临床中得到推广以及应用。
Objective To investigate the effect of functional endoscopic sinus surgery and contoured endoscopic sinus surgery in treatment of refractory sinusitis. Methods 60 cases of patients admitted and treated in our hospital from January 2017 to January 2018 were selected and randomly divided into two groups with 30 cases in each, the observation group were treated with contouring endoscopic surgery, while the control group were treated with functional endoscopic sinus surgery, and the VAS score, nasal endoscopic Lund-Kennedy score and sinuses CT Lund-Mackay score were strictly compared, and the total treatment effective rate was compared and analyzed. Results The VAS score in the observation group and in the control group was respectively(1.36±0.68)points and(3.01±0.87)points, and the nasal endoscopic Lund-Kennedy score and sinuses CT Lund-Mackay score in the observation group and in the control group were respectively(4.5±1.0)points,(7.3±1.2)points and(5.6±1.1)points,(9.0±1.4)points, and the differences were statistically significant(t=5.659 4, 6.542 8, 5.359 2,P <0.05), and the total treatment effective rate in the observation group and in the control group was respectively 96.7%( 29/30) and 70.0%( 21/30), and the difference was obvious,with statistical significance(χ~2=16.259 4,P<0.05). Conclusion The effect of FESS is better than that of RSS, and various symptoms are relieved, and it is worth clinical promotion and application.
Objective To investigate the effect of functional endoscopic sinus surgery and contoured endoscopic sinus surgery in treatment of refractory sinusitis. Methods 60 cases of patients admitted and treated in our hospital from January 2017 to January 2018 were selected and randomly divided into two groups with 30 cases in each, the observation group were treated with contouring endoscopic surgery, while the control group were treated with functional endoscopic sinus surgery, and the VAS score, nasal endoscopic Lund-Kennedy score and sinuses CT Lund-Mackay score were strictly compared, and the total treatment effective rate was compared and analyzed. Results The VAS score in the observation group and in the control group was respectively(1.36±0.68)points and(3.01±0.87)points, and the nasal endoscopic Lund-Kennedy score and sinuses CT Lund-Mackay score in the observation group and in the control group were respectively(4.5±1.0)points,(7.3±1.2)points and(5.6±1.1)points,(9.0±1.4)points, and the differences were statistically significant(t=5.659 4, 6.542 8, 5.359 2,P <0.05), and the total treatment effective rate in the observation group and in the control group was respectively 96.7%( 29/30) and 70.0%( 21/30), and the difference was obvious,with statistical significance(χ~2=16.259 4,P<0.05). Conclusion The effect of FESS is better than that of RSS, and various symptoms are relieved, and it is worth clinical promotion and application.
引文
[1]王明婕,林枫,张晓晴,等.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(3):185-190.
[2]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(17):656-657.
[3]郭德强,王增光.功能性鼻内窥镜手术治疗慢性鼻窦炎的疗效观察[J].中国继续医学教育, 2018(8):594-595.
[4]张瑜,喻国冻,金莹,等.中鼻甲切除术联合功能性内窥镜鼻窦术治疗难治性鼻-鼻窦炎的临床疗效分析[J].世界最新医学信息文摘, 2018(55):134-135.
[5]余良才,马政旺,潘阳春,等.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.
[6]林佳伟,李创伟,林炘,等.药物治疗联合功能性内镜鼻窦手术治疗慢性鼻-鼻窦炎的临床疗效[J].中外医学研究, 2014(36):24-25.
[7]李嘉怡.轮廓化鼻内镜手术治疗难治性鼻窦炎的价值探讨[J].临床耳鼻咽喉头颈外科杂志, 2018(10):592-593.
[8]邹桂年,曾旭军,林树燕.功能性鼻内镜手术治疗慢性鼻窦炎鼻息肉的效果观察[J].临床医学工程, 2016, 23(8):1015-1016.
[9]李晓鸣.功能性鼻内镜手术治疗霉菌性鼻窦炎的疗效探讨[J].中国医药指南, 2017, 15(25):4.
[10]冷凉,杨灵军,罗林,等.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效果研究[J].心理医生, 2017, 23(23):36-37.
[2]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(17):656-657.
[3]郭德强,王增光.功能性鼻内窥镜手术治疗慢性鼻窦炎的疗效观察[J].中国继续医学教育, 2018(8):594-595.
[4]张瑜,喻国冻,金莹,等.中鼻甲切除术联合功能性内窥镜鼻窦术治疗难治性鼻-鼻窦炎的临床疗效分析[J].世界最新医学信息文摘, 2018(55):134-135.
[5]余良才,马政旺,潘阳春,等.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.
[6]林佳伟,李创伟,林炘,等.药物治疗联合功能性内镜鼻窦手术治疗慢性鼻-鼻窦炎的临床疗效[J].中外医学研究, 2014(36):24-25.
[7]李嘉怡.轮廓化鼻内镜手术治疗难治性鼻窦炎的价值探讨[J].临床耳鼻咽喉头颈外科杂志, 2018(10):592-593.
[8]邹桂年,曾旭军,林树燕.功能性鼻内镜手术治疗慢性鼻窦炎鼻息肉的效果观察[J].临床医学工程, 2016, 23(8):1015-1016.
[9]李晓鸣.功能性鼻内镜手术治疗霉菌性鼻窦炎的疗效探讨[J].中国医药指南, 2017, 15(25):4.
[10]冷凉,杨灵军,罗林,等.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效果研究[J].心理医生, 2017, 23(23):36-37.