鼻内窥镜手术治疗鼻窦炎伴鼻息肉疗效观察.docVIP

鼻内窥镜手术治疗鼻窦炎伴鼻息肉疗效观察 　　【摘要】 目的：观察鼻内窥镜手术治疗鼻窦炎伴鼻息肉的疗效。方法：选取笔者所在医院2003年5月-2012年5月收治的500例鼻窦炎伴鼻息肉患者，按照其就诊顺序编号将其随机分为对照组100例和治疗组400例。对照组患者给予常规鼻窦手术，治疗组患者给予鼻内窥镜手术，比较两组治疗效果。结果：治疗组患者总有效率96%，明显优于对照组的88%，两组比较差异均有统计学意义（P0.05）。结论：鼻内窥镜手术治疗鼻窦炎伴鼻息肉临床效果明显，值得临床推广应用。 　　【关键词】 鼻内窥镜； 鼻窦炎； 鼻息肉 　　中图分类号 R765 文献标识码 A 文章编号 1674-6805（2014）20-0014-03 　　The Clinical Efficacy of Endoscopic Sinus Surgery for Sinusitis with Nasal Polyps/ZHENG Shu-guo.//Chinese and Foreign Medical Research，2014，12（20）：14-16 　　【Abstract】 Objective： To observe the effect of endoscopic sinus surgery for sinusitis with nasal polyps. Method： 500 cases of sinusitis from May 2003 to May 2012 were selected in the hospital. All patients were randomly divided into two groups according to the treatment sequence number， 100 cases in the control group and the treatment group 400 cases. The indicators between the two groups were compared after treatment， such as the effective rate， complications and so on. Result： The total effective rate of the control group was 88% while the treatment group was 96% after treatment， and the difference between the two groups were statistically significant（P0.05）. The average time stay in hospital and symptoms disappear time for clinical treatment of the treatment group were significantly shorter than the control group（P0.05），and adverse drug reactions rate during treatment of the treatment group were no significantly difference with the control group（P0.05）. Conclusion： Endoscopic surgery for sinusitis with polyps clinical effect is obvious， which is worthy of promotion and application. 　　【Key words】 Endoscopic； Sinusitis； Polyps 　　First-author’s address： Traditional Chinese Medicine Hospital of Jian’ge County，Jian’ge 628300，China 　　鼻窦炎伴鼻息肉是临床发病率较高的一种耳鼻喉科多发病，该疾病的临床治疗通常存在较大难度，常规的鼻窦炎伴鼻息肉临床治疗技术通常效果较差，并发症发生率较高，复发率较高，且无法完全有效的清除病灶组织。随着近年来我国临床医疗技术的发展成熟，以及微创治疗技术在各类疾病治疗中的推广应用，以鼻内窥镜手术为代表的鼻窦炎伴鼻息肉治疗技术也实现了快速的发展成熟，这一治疗方法具有较为理想的临床效果，相比常规的手术治疗技术，鼻内窥镜手术具有术后复发率更低，对患者机体损伤更小，术后复发率较低等显著优势，因而更加适宜大范围的推广应用。然而，临床上对