摘要
目的探讨功能性鼻内窥镜手术(FESS)和轮廓化鼻内镜手术(RSS)对难治性鼻窦炎疗效及安全性的影响。方法将128例难治性鼻窦炎患者以随机数字表法分为FESS组和RSS组各64例;比较两组患者临床疗效,手术前后症状VAS评分、Lund-Kennedy评分、Lund-Mackay评分、术后并发症发生率及随访复发率。结果 RSS组患者临床疗效显著优于FESS组(P<0.05);RSS组术后症状VAS评分、Lund-Kennedy评分及Lund-Mackay评分均显著低于FESS组、术前(P<0.05);同时两组患者术后并发症发生率比较差异无显著性(P>0.05);RSS组患者随访复发率显著低于FESS组(P<0.05)。结论相较于FESS术式,RSS术式用于难治性鼻窦炎患者治疗可显著缓解相关症状体征,控制鼻黏膜损伤进展,促进生理功能恢复,降低复发风险,且安全性值得认可。
引文
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