摘要
目的探讨鼻内镜手术治疗慢性鼻窦炎的临床疗效及其与临床分型的关系。方法回顾性分析2003年10月～2009年8月行手术治疗的219例慢性鼻窦炎患者的临床资料,行鼻内镜手术治疗110例(内镜组)、行传统手术治疗109例(传统手术组)。术后6个月评价临床疗效,随访1年观察复发率。结果内镜组临床疗效总有效率显著高于对照(χ2=3.285,P<0.05)。Ⅰ、Ⅱ型的总有效率显著高于Ⅲ型(χ2=3.443,3.260,P<0.05),Ⅰ型和Ⅱ型的总有效率比较差异无显著性(χ2=2.337,P>0.05)。Ⅰ型治愈率显著高于Ⅱ型、Ⅲ型(χ2=3.689,5.993,P<0.05),Ⅱ型治愈率显著高于Ⅲ型(χ2=4.397,P<0.05)。内镜组术后复发率低于传统手术组(χ2=9.538,P<0.05)。结论鼻内镜手术治疗慢性鼻窦炎临床效果好,术后复发率低;临床分型越重,疗效越差。应根据不同的临床类型采取积极和规范的早期干预。
[Objective] To investigate the clinical effects of endoscopic sinusitis surgery for chronic sinusitis and its relevance with clinical type.[Methods] The clinical data of 100 patients with chronic sinusitis were retrospectively analyzed from October 2003 to August 2009,110 cases were given the surgery of endoscopic sinusitis（endoscopic sinusitis group）,109 cases were given the conventional surgery（conventional surgery group）.The clinical effect was evaluated after treatment for 6 months;patients were followed up 1 year the postoperative recurrence rate of the two groups were observed.[Results] The total effective rate of endoscopic sinusitis group was significantly higher than the control group（χ2=3.285,P 0.05）.The total effective rate of typeⅠ and typeⅡ was higher than that of the type Ⅲ（χ2=3.443,3.260,P 0.05）,the total effective rate of typeⅡ and type Ⅲ was no significantly different（χ2=2.337,P 0.05）.The cure rate of typeⅠ was higher than the typeⅡ and type Ⅲ（χ2=3.689 and 5.993,P 0.05）,the cure rate of type Ⅱ was higher than the type Ⅲ（χ2=4.397,P 0.05）.The postoperative recurrence rate of endoscopic sinusitis group was significantly lower than the control group（χ2 = 9.538,P 0.05）.[Conclusions] The endoscopic sinusitis surgery for treating the patients with chronic sinusitis has good clinical effect and low recurrence rate;The higher the clinical type is,the poorer the clinical effect is.The positive and effective early intervention should be done according to the different clinical types.
出处
《中国内镜杂志》
CSCD
北大核心
2012年第1期92-94,共3页
China Journal of Endoscopy
关键词
慢性鼻窦炎
鼻内镜手术
临床分型
临床疗效
chronic sinusitis
endoscopic sinusttis surgery
clinical type
clinical effect
