摘要
目的:探讨轮廓化鼻内镜手术治疗难治性鼻窦炎的临床疗效。方法:选取2014年6月至2016年6月四川省巴中市中心医院耳鼻喉科收治的86例难治性鼻窦炎患者,按随机数字表法分为观察组和对照组,每组43例。对照组采用功能性鼻内镜手术治疗,观察组采用轮廓化鼻内镜手术治疗。比较两组临床疗效、术后并发症及术后不同时间视觉模拟评分(VAS)、鼻内镜Lund-Kennedy评分和鼻窦CT Lund-Mackay评分。结果:观察组治疗总有效率(93.02%)明显高于对照组(67.44%)(P<0.05)。两组术后3个月、6个月和1年的VAS评分、鼻内镜Lund-Kennedy评分、鼻窦CT Lund-Mackay评分均明显低于术前(P<0.05);术后3个月、6个月,观察组VAS评分均低于对照组(均P<0.05),而术后1年,两组VAS评分比较,差异无统计学意义(P>0.05);观察组术后3个月、6个月和1年鼻内镜Lund-Kennedy评分、鼻窦CT Lund-Mackay评分均低于对照组(均P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:轮廓化鼻内镜手术治疗难治性鼻窦炎的效果显著,可有效缓解疼痛,改善鼻腔鼻窦功能。
Objective:To study the clinical efficacy of profiled endoscopic surgery for refractory sinusitis.Methods:86 patients with refractory sinusitis treated in our hospital from June 2014 to June 2016 were selected,and randomly divided into an observation group and a control group,with 43 cases in each group.The patients in the control group were treated with functional endoscopic surgery,while those in the observation group were treated with profiled endoscopic surgery.The clinical efficacy,the incidence of complications and the visual analogue score(VAS),nasal endoscopic Lund-Kennedy score and sinus CT Lund-Mackay score were compared between two groups.Results:The total effective rate in the observation group was 93.02%,which was significantly higher than that of the control group(67.44%)(P<0.05).The VAS score,nasal endoscopic Lund-Kennedy score and sinus CT Lund-Mackay score in the two groups were decreased after operation(P<0.05),and the VAS score in the observation group was lower than that in the control group after 3 and 6 months of operation(P<0.05).After 1 year of operation,there was no significant difference in the VAS score between the two groups(P>0.05).After 3 and 6 months and 1 year,the nasal endoscopic Lund-Kennedy score and sinus CT Lund-Mackay score in the observation group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).Conclusion:Profiled endoscopic surgery was significantly effective in the treatment of refractory sinusitis,and it can relieve pain and improve the function of nasal sinuses.
作者
何炳才
魏峥
牟茂槐
He Bingcai;Wei Zheng;Mou Maohuai(Department of ENT,Central Hospital of Bazhong,Bazhong 636600,China)
出处
《广西医科大学学报》
CAS
2019年第12期1995-1998,共4页
Journal of Guangxi Medical University
关键词
难治性鼻窦炎
轮廓化鼻内镜手术
功能性鼻内镜手术
refractory sinusitis
profiled endoscopic surgery
functional nasal endoscopic surgery
