鼻内镜手术治疗鼻窦炎、鼻息肉疗效及影响因素分析.docVIP

精品论文 参考文献 鼻内镜手术治疗鼻窦炎、鼻息肉疗效及影响因素分析 （井研县人民医院 四川 乐山 613100） 　　【摘要】 目的：为达到更好的治疗效果，探讨临床实践过程中鼻内镜手术治疗鼻窦炎。鼻息肉疗效及影响因素。方法：选取我院2012～2015年行鼻内镜手术且资料完整的200例患者，采用随机数字表法平均分为两组。其中对照组采用包括药物、激光及微波在内等非手术治疗；鼻内镜组采用鼻内镜手术治疗，比较两组患者临床治愈率及改善总有效率。结果：对照组与鼻内镜组患者临床治愈率分别为12.2%、26.7%；临床改善总有效率分别为67.8%、91.1%。鼻内镜组患者临床治愈率及临床改善总有效率均明显优于对照组，组间比较差异有统计学意义（P﹤0.05）。结论：功能性鼻内镜手术作为治疗鼻窦炎、鼻息肉最有效的临床方法之一，能够明显地改善患者的症状。鼻内镜手术治疗鼻窦炎和鼻息肉可以获得较好的疗效，同时应强调鼻内镜术后包括术后随访和鼻腔清理、鼻内糖皮质激素、黏液稀化剂和抗生素的联合应用等综合治疗。 　　【关键词】 鼻内镜手术；鼻窦炎；鼻息肉；联合应用 　　【中图分类号】R765 【文献标识码】A 【文章编号】2095-1752（2016）26-0029-02 　　Endoscopic sinus surgery for sinusitis: analysis of the curative effect and influencing factors of nasal polyps 　　Dong Xueying. The Peoples Hospital of Jingyan County, Sichuan Province, Leshan 613100, China 　　【Abstract】Objective To achieve better therapeutic effect, to explore the clinical practice of endoscopic sinus surgery. Methods 200 cases with complete data were divided into two groups randomly. The control group was treated with non operative treatment including drugs, laser and microwave, etc. The nasal endoscopic group was treated with nasal endoscopic surgery. The clinical cure rate and total effective rate of the two groups were compared. Results The clinical cure rate and the total effective rate of clinical improvement in nasal endoscopic group were significantly better than those in control group, the difference was statistically significant (P lt; 0.05).Conclusion The clinical methods of functional endoscopic sinus surgery for the treatment of sinusitis and nasal polyps, the most effective, can significantly improve the symptoms. 　　【Key words】Endoscopic sinus surgery; Sinusitis; Nasal polyps; Combined application 　　鼻内镜手术是目前临床上较为常用的治疗手段，具有创伤小疗效高、恢复快等特点，对于治疗鼻窦炎、鼻息肉具有显著效果。 它可以有效清除鼻道窦口复合体的病变,保证窦腔通气和引流通畅,并且可同时行鼻中隔矫正术[1],为慢性鼻-鼻窦炎鼻息肉的诊治开辟了广阔的前景。鼻内镜技术是微创医学领域的重要分支之一,扩大手术范围,大大促进了与鼻内镜手术相关的鼻腔鼻窦解剖学发展,从而提高了内镜手术的安全性和手术效果。我院采用鼻内镜手术治疗鼻窦炎、鼻息肉取得满意疗效, 本文回顾性分析术后疗效及影响其手术预后的各种因素[2]，现将相关的临床资料总结分析如下。 　　1.资料与方法