鼻窦内镜手术对鼻窦炎鼻息肉患者鼻腔通气状况及嗅觉功能的影响
|
摘要
目的:探讨鼻窦内镜手术对鼻窦炎鼻息肉患者鼻腔通气状况及嗅觉功能的影响。方法:将某院收治的106例鼻窦炎鼻息肉患者作为观察对象,运用随机数表法分为对照组、观察组,各53例。对照组实施鼻腔开放手术,观察组实施鼻窦内镜手术。观察2组临床疗效、复发情况、手术前后鼻腔通气状况及嗅觉功能变化情况等。结果:观察组复发率低于对照组,总有效率高于对照组,差异有统计学意义(P<0.05);术前2组嗅觉功能评分、鼻气道总阻力、鼻腔最小横截面积(NMCA)、鼻腔容积(NCV),NMCA到前鼻孔距离(DCAM)对比,差异无统计学意义(P>0.05),术后观察组NMCA,NCV高于对照组,嗅觉功能评分、鼻气道总阻力、DCAM低于对照组,差异有统计学意义(P<0.05)。结论:将鼻窦内镜术用于鼻窦炎鼻息肉患者治疗中效果确切,利于调节鼻腔通气状况,增强嗅觉功能,降低术后疾病复发率。
Objective: To observe the effect of functional endoscopic sinus surgery( FESS) on nasal ventilation status and olfactory function in patients with chronic rhinosinusitis with nasal polypsis( CRSw NP). Methods: 106 CRSw NP patients treated in a hospital were selected and were randomly divided into a control group and an observation group,53 cases in each. The control group underwent nasal open surgery,while the observation group was treated with FESS. Clinical efficacy,recurrence,nasal ventilation status before and after surgery,and changes of olfactory function in the two groups were observed. Results: The recurrence rate of the observation group was lower than that of the control group,and the total effective rate was higher than the control group( P < 0. 05). Before the surgery,there was no statistical difference in the olfactory function score,total nasal airway resistance,nasal minimal cross-sectional area( NMCA),nasal cavity volume( NCV),and NMCA to DCAM between the two groups( P > 0. 05). After surgery,the NMCA and NCV in the observation group were higher than those in the control group,while the olfactory function score,total nasal airway resistance and DCAM were lower than the control group( P < 0. 05). Conclusion: FESS is effective in treatment of CRSw NP. It can regulate nasal ventilation status,strengthen olfactory function and reduce the recurrence rate of the disease.
Objective: To observe the effect of functional endoscopic sinus surgery( FESS) on nasal ventilation status and olfactory function in patients with chronic rhinosinusitis with nasal polypsis( CRSw NP). Methods: 106 CRSw NP patients treated in a hospital were selected and were randomly divided into a control group and an observation group,53 cases in each. The control group underwent nasal open surgery,while the observation group was treated with FESS. Clinical efficacy,recurrence,nasal ventilation status before and after surgery,and changes of olfactory function in the two groups were observed. Results: The recurrence rate of the observation group was lower than that of the control group,and the total effective rate was higher than the control group( P < 0. 05). Before the surgery,there was no statistical difference in the olfactory function score,total nasal airway resistance,nasal minimal cross-sectional area( NMCA),nasal cavity volume( NCV),and NMCA to DCAM between the two groups( P > 0. 05). After surgery,the NMCA and NCV in the observation group were higher than those in the control group,while the olfactory function score,total nasal airway resistance and DCAM were lower than the control group( P < 0. 05). Conclusion: FESS is effective in treatment of CRSw NP. It can regulate nasal ventilation status,strengthen olfactory function and reduce the recurrence rate of the disease.
引文
[1]杨少峰,赵和平,龚继涛,等.功能性鼻内窥镜手术治疗鼻窦炎与鼻息肉的疗效分析[J].现代生物医学进展,2017,17(18):3506-3508.
[2]杨海刚.鼻内镜手术治疗慢性鼻窦炎伴鼻息肉的临床疗效及对生活质量的影响[J].四川医学,2015,36(6):884-886.
[3]朱俊所,马明.鼻内镜鼻窦手术后鼻腔冲洗联合丙酸氟替卡松喷雾剂治疗慢性鼻窦炎、鼻息肉的疗效观察[J].安徽医药,2015,19(9):1813-1815.
[4]黄选兆,汪吉宝.实用耳鼻咽喉科学[M].北京:人民卫生出版社,1998:195-263.
[5]中华医学会耳鼻咽喉科分会.慢性鼻窦炎鼻息肉临床分型分期及内窥镜鼻窦手术疗效评定标准[J].中华耳鼻咽喉科杂志,1998,33(3):134-135.
[6]李捷.鼻内镜手术对慢性鼻窦炎鼻息肉患者的影响[J].检验医学与临床,2017,14(12):1768-1769.
[7]吴文,陈涵.鼻内镜手术改善鼻窦炎鼻息肉患者鼻腔梗阻症状及嗅觉功能的作用[J].河北医学,2016,22(5):759-761.
[8]王成硕,张罗.内镜鼻窦手术治疗慢性鼻-鼻窦炎伴鼻息肉疗效的预测[J].中华耳鼻咽喉头颈外科杂志,2017,52(2):152-156.
[9]管骅,慈军,方英,等.鼻内镜治疗老年人慢性鼻窦炎鼻息肉临床疗效观察[J].中华老年医学杂志,2015,34(4):421-423.
[10]何清泉,李振安,余凤慈.鼻内镜鼻窦手术对鼻窦炎鼻息肉患者嗅觉功能及鼻腔容积的影响[J].山东大学耳鼻喉眼学报,2016,30(1):58-60.
[2]杨海刚.鼻内镜手术治疗慢性鼻窦炎伴鼻息肉的临床疗效及对生活质量的影响[J].四川医学,2015,36(6):884-886.
[3]朱俊所,马明.鼻内镜鼻窦手术后鼻腔冲洗联合丙酸氟替卡松喷雾剂治疗慢性鼻窦炎、鼻息肉的疗效观察[J].安徽医药,2015,19(9):1813-1815.
[4]黄选兆,汪吉宝.实用耳鼻咽喉科学[M].北京:人民卫生出版社,1998:195-263.
[5]中华医学会耳鼻咽喉科分会.慢性鼻窦炎鼻息肉临床分型分期及内窥镜鼻窦手术疗效评定标准[J].中华耳鼻咽喉科杂志,1998,33(3):134-135.
[6]李捷.鼻内镜手术对慢性鼻窦炎鼻息肉患者的影响[J].检验医学与临床,2017,14(12):1768-1769.
[7]吴文,陈涵.鼻内镜手术改善鼻窦炎鼻息肉患者鼻腔梗阻症状及嗅觉功能的作用[J].河北医学,2016,22(5):759-761.
[8]王成硕,张罗.内镜鼻窦手术治疗慢性鼻-鼻窦炎伴鼻息肉疗效的预测[J].中华耳鼻咽喉头颈外科杂志,2017,52(2):152-156.
[9]管骅,慈军,方英,等.鼻内镜治疗老年人慢性鼻窦炎鼻息肉临床疗效观察[J].中华老年医学杂志,2015,34(4):421-423.
[10]何清泉,李振安,余凤慈.鼻内镜鼻窦手术对鼻窦炎鼻息肉患者嗅觉功能及鼻腔容积的影响[J].山东大学耳鼻喉眼学报,2016,30(1):58-60.