鼻内镜手术与鼻腔开放手术治疗鼻窦炎鼻息肉效果对比分析
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摘要
目的对比研究鼻内镜手术与鼻腔开放手术在鼻窦炎鼻息肉治疗中的应用效果。方法选择本院2016年8月至2017年7月治疗的102例鼻窦炎鼻息肉患者作为研究对象,随机分为对照组和观察组各51例。对照组实施鼻腔开放手术,观察组实施鼻内镜手术。观察两组临床疗效、治疗前后症状评分、嗅觉功能、鼻气道阻力与鼻腔最小横截面面积(NMCA)、鼻腔容积(NCV)等。结果对照组治疗总有效率低于观察组,差异有统计学意义(P<0.05);术前两组NMCA、NCV、鼻气道阻力、嗅觉功能对比,差异无统计学意义(P>0.05);术后观察组NCV、NMCA、嗅觉功能评分高于对照组,鼻气道阻力低于对照组,差异有统计学意义(P<0.05);术前两组疼痛、鼻塞、嗅觉障碍、脓涕等症状评分对比,差异无统计学意义(P>0.05);术后观察组疼痛、鼻塞、嗅觉障碍、脓涕等症状评分低于对照组,差异有统计学意义(P<0.05)。结论鼻内镜手术治疗鼻窦炎鼻息肉效果良好,利于促进鼻腔结构恢复正常,改善不适症状与气道阻力,提升嗅觉功能与疾病治疗效果。
Objective To compare the application effects of nasal endoscopic surgery and nasal open surgery in treatment of rhinosinusitis with nasal polyps.Methods A total of 102 cases of rhinosinusitis with nasal polyps treated in our hospital from August 2016 to July 2017 were selected,and they were randomly divided into control group and observation group,with 51 cases in each group.Control group was given nasal open surgery,while observation group was given nasal endoscopic surgery.The clinical efficacy,symptom score,olfactory function,nasal airway resistance,nasal minimal cross-sectional area(NMCA),nasal cavity volume(NCV)in two groups were observed.Results The total effective rate of control group was lower than that of observation group(P<0.05).Before surgery,there was no statistical difference in the NMCA,NCV,nasal airway resistance,olfactory function between the two groups(P>0.05);after surgery,the NCV,NMCA,olfactory function score in observation group were lower than those in control group,while the nasal airway resistance in observation group was lower than control group(P<0.05).Before surgery,there was no statistical difference in the scores of pain,nasal congestion,olfactory disorder,pus snot between the two groups(P>0.05);after surgery,the scores of pain,nasal congestion,olfactory disorder,pus snot in observation group were lower than those in control group(P<0.05).Conclusion Nasal endoscopic surgery in treatment of rhinosinusitis with nasal polyps is effective,it can promote recovery of nasal structure,improve uncomfortable symptoms and airway resistance,increase olfactory function and curative effects.
Objective To compare the application effects of nasal endoscopic surgery and nasal open surgery in treatment of rhinosinusitis with nasal polyps.Methods A total of 102 cases of rhinosinusitis with nasal polyps treated in our hospital from August 2016 to July 2017 were selected,and they were randomly divided into control group and observation group,with 51 cases in each group.Control group was given nasal open surgery,while observation group was given nasal endoscopic surgery.The clinical efficacy,symptom score,olfactory function,nasal airway resistance,nasal minimal cross-sectional area(NMCA),nasal cavity volume(NCV)in two groups were observed.Results The total effective rate of control group was lower than that of observation group(P<0.05).Before surgery,there was no statistical difference in the NMCA,NCV,nasal airway resistance,olfactory function between the two groups(P>0.05);after surgery,the NCV,NMCA,olfactory function score in observation group were lower than those in control group,while the nasal airway resistance in observation group was lower than control group(P<0.05).Before surgery,there was no statistical difference in the scores of pain,nasal congestion,olfactory disorder,pus snot between the two groups(P>0.05);after surgery,the scores of pain,nasal congestion,olfactory disorder,pus snot in observation group were lower than those in control group(P<0.05).Conclusion Nasal endoscopic surgery in treatment of rhinosinusitis with nasal polyps is effective,it can promote recovery of nasal structure,improve uncomfortable symptoms and airway resistance,increase olfactory function and curative effects.
引文
[1]苏怡,谢景华,潘晓李,等.慢性鼻-鼻窦炎伴或不伴鼻息肉患者鼻内镜手术的疗效及影响因素分析[J].山东大学耳鼻喉眼学报,2016,30(4):86-89.
[2]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.
[3]冯娟,范宇琴,雍军,等.鼻内镜手术治疗慢性鼻-鼻窦炎伴或不伴鼻息肉患者生活质量评估[J].新疆医科大学学报,2015,38(8):980-983.
[4]刘鹤,李永.经鼻内镜手术结合药物治疗慢性鼻窦炎伴鼻息肉的疗效观察[J].中国临床医生杂志,2016,44(11):64-66.
[5]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.
[6]王静,李代强,袁伟.鼻窦内镜术治疗鼻窦炎鼻息肉的临床疗效及对患者鼻腔气流的影响[J].临床和实验医学杂志,2017,28(3):186-188.
[7]罗敏,段金芳,孙刚,等.鼻窦内镜术治疗鼻窦炎合并鼻息肉的疗效及对鼻腔通气和嗅觉功能的影响[J].现代生物医学进展,2017,17(23):4572-4575.
[8]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.
[9]喻继康.不同术式对慢性鼻窦炎或鼻息肉患者的近期疗效及预后研究[J].川北医学院学报,2016,31(4):575-578.
[10]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.
[2]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.
[3]冯娟,范宇琴,雍军,等.鼻内镜手术治疗慢性鼻-鼻窦炎伴或不伴鼻息肉患者生活质量评估[J].新疆医科大学学报,2015,38(8):980-983.
[4]刘鹤,李永.经鼻内镜手术结合药物治疗慢性鼻窦炎伴鼻息肉的疗效观察[J].中国临床医生杂志,2016,44(11):64-66.
[5]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.
[6]王静,李代强,袁伟.鼻窦内镜术治疗鼻窦炎鼻息肉的临床疗效及对患者鼻腔气流的影响[J].临床和实验医学杂志,2017,28(3):186-188.
[7]罗敏,段金芳,孙刚,等.鼻窦内镜术治疗鼻窦炎合并鼻息肉的疗效及对鼻腔通气和嗅觉功能的影响[J].现代生物医学进展,2017,17(23):4572-4575.
[8]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.
[9]喻继康.不同术式对慢性鼻窦炎或鼻息肉患者的近期疗效及预后研究[J].川北医学院学报,2016,31(4):575-578.
[10]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.