鼻内镜手术治疗鼻息肉及慢性鼻窦炎临床疗效观察.docVIP

鼻内镜手术治疗鼻息肉及慢性鼻窦炎临床疗效观察 　　[摘要] 目的 探讨鼻内镜手术治疗鼻息肉及慢性鼻窦炎的临床疗效。 方法 回顾性分析2012年1月～2013年1月在我院行手术治疗的鼻息肉及慢性鼻窦炎患者100例的临床资料，根据治疗方法不同随机分为A组和B组各50例，A组采用鼻内镜手术：B组采用传统手术：比较A组与B组术后总有效率及术后并发症，包括术后出血、发热、鼻腔粘连、上颌窦口狭窄或闭锁。 结果 A组与B组术后总有效率分别为92.0%，70.0%，两组总有效率组间比较，差异具有统计学意义（x2 =5.273，P　　[关键词] 鼻息肉及慢性鼻窦炎；鼻内镜手术；疗效；并发症 　　[中图分类号] R765.9 [文献标识码] B [文章编号] 2095-0616（2013）22-163-03 　　Observation on clinical efficacy of endoscopic surgery in the treatment of nasal polyps and chronic sinusitis 　　XIA Zengchan LIU Feiqiu JIAO Huijun XU Wei CHEN Yu 　　Department of ENT，Guangzhou Military Region Air Force Logistics Clinic，Guangzhou 520052，China 　　[Abstract] Objective To investigate the clinical efficacy of endoscopic surgery in the treatment of nasal polyps and chronic sinusitis. Methods The clinical data of 100 cases with nasal polyps and chronic sinusitis underwent surgical treatment from January 2012 to January 2013 in our hospital were retrospectively analyzed. All patients were randomly divided into the group A and the group B according to the different treatment methods，each group had 50 cases，the patients in the group A were treated with endoscopic surgery，while the patients in the group B were treated with conventional surgery.The total effective rate and postoperative complications， including postoperative bleeding，fever，nasal adhesions， maxillary sinus stenosis or atresia，were compared between the group A and the group B. Results The total effective rate of the group A and the group B were 92.0%，70.0% respectively，the difference was significant in the total effective rate between the two groups（x2 =5.273，P 　　1 资料与方法 　　1.1 一般资料 　　回顾性分析2012年1月～2013年1月在我院行手术治疗的鼻息肉及慢性鼻窦炎患者100例的临床资料，其中部分患者有前期鼻窦手术史，术前常规行鼻窦CT扫描，鼻内镜检查示患者鼻道中有脓性分泌物，其中合并有鼻息肉25例，合并有鼻中隔偏曲29例。其中男67例，女33例，年龄15～62岁，平均（38.2±3.9）周岁。病程3个月～18年。临床表现主要不同程度的鼻塞、黏脓涕，头昏头痛，记忆力减退，嗅觉减退或障碍等。按照中华医学会1998年海口会议评定标准进行临床分型分期[3]：Ⅰ型1期5例，2期9例，3期40例；Ⅱ型1期7例，2期7例，3期20例；Ⅲ型12例，根据治疗方法不同随机分为A组和B组各35例，两组患者的性别、平均年龄、病程等基线资料比较，差异无统计学意义（P0.05），具有可比性。见表1。 　　1.2 手术方法 　　A组采用鼻内镜手术：37