不同鼻内镜术式对难治性鼻窦炎疗效及安全性的影响
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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[6] Eloy JA,Marchiano E,Vázquez A.Extended Endoscopic and Open Sinus Surgery for Refractory Chronic Rhinosinusitis[J].Otolaryngol Clin North Am,2017,50(1):165-170.
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[8] Chen FH,Deng J,Hong HY,et al.Extensive versus functional endoscopic sinus surgery for chronic rhinosinusitis with nasal polyps and asthma:A 1-year study[J].Am J Rhinol Allergy,2016,30(2):143-148.
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[10] Hopkins C,Rimmer J,Lund VJ.Does time to endoscopic sinus surgery impact outcomes in Chronic Rhinosinusitis Prospective findings from the National Comparative Audit of Surgery for Nasal Polyposis and Chronic Rhinosinusitis[J].Rhinology,2015,53(1):10-17.
[11] Hopkins C,Andrews P,Holy CE.Does time to endoscopic sinus surgery impact outcomes in chronic rhinosinusitis Retrospective analysis using the UK clinical practice research data[J].Rhinology,2015,53(1):18-24.
[12] Costa ML,Psaltis AJ,Nayak JV,et al.Long-term outcomes of endoscopic maxillary mega-antrostomy for refractory chronic maxillary sinusitis[J].Inter Forum Allergy Rhinol,2015,5(1):60.
[2] Gray ST,Sadow PM,Lin DT,et al.Endoscopic sinus surgery for chronic rhinosinusitis in patients previously treated for sinonasal malignancy[J].Laryngoscope,2016,126(2):304-309.
[3] Nayan S,Maby A,Endam LM,et al.Dietary modifications for refractory chronic rhinosinusitis Manipulating diet for the modulation of inflammation[J].Am J Rhinol Allergy,2015,29(6):170-174.
[4] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组.慢性鼻—鼻窦炎诊断和治疗指南(2012年,昆明)[J].中国医刊,2013,48(11):92-94.
[5] Tabaee A,Mccoul E D.Refractory Chronic Rhinosinusitis[J].Otolaryngol Clin North Am,2017,50(1):1511-1519.
[6] Eloy JA,Marchiano E,Vázquez A.Extended Endoscopic and Open Sinus Surgery for Refractory Chronic Rhinosinusitis[J].Otolaryngol Clin North Am,2017,50(1):165-170.
[7] Shikani AH,Chahine KN.Treatment of Refractory Chronic Rhinosinusitis:The ‘Rhinotopic’ Algorithm[J].Laryngoscope,2015,119(S3):S318-S318.
[8] Chen FH,Deng J,Hong HY,et al.Extensive versus functional endoscopic sinus surgery for chronic rhinosinusitis with nasal polyps and asthma:A 1-year study[J].Am J Rhinol Allergy,2016,30(2):143-148.
[9] Isaacson G.Surgical treatment of pediatric rhinosinusitis[J].Minerva Pediatrica,2015,67(4):357-364.
[10] Hopkins C,Rimmer J,Lund VJ.Does time to endoscopic sinus surgery impact outcomes in Chronic Rhinosinusitis Prospective findings from the National Comparative Audit of Surgery for Nasal Polyposis and Chronic Rhinosinusitis[J].Rhinology,2015,53(1):10-17.
[11] Hopkins C,Andrews P,Holy CE.Does time to endoscopic sinus surgery impact outcomes in chronic rhinosinusitis Retrospective analysis using the UK clinical practice research data[J].Rhinology,2015,53(1):18-24.
[12] Costa ML,Psaltis AJ,Nayak JV,et al.Long-term outcomes of endoscopic maxillary mega-antrostomy for refractory chronic maxillary sinusitis[J].Inter Forum Allergy Rhinol,2015,5(1):60.