摘要
目的 探讨鼻内镜治疗老年人慢性鼻窦炎、鼻息肉的临床疗效.方法 选择2010年6月至2014年6月我院收治的老年慢性鼻窦炎、鼻息肉患者132例,均行鼻内镜下手术治疗,观察临床治疗效果.结果 132例患者中,治愈92例（69.7％）,显效33例（25.0％）,无效7例（5.3％）,总有效率为94.7％;治疗总有效率Ⅰ型为100.0％,Ⅱ型为97.4％,Ⅲ型为84.8％;Ⅰ型和Ⅱ型治疗总有效率明显高于Ⅲ型总有效率84.8％,差异有统计学意义（χ2=3.506,P=0.035;χ2=6.218,P=0.012）.发生局部并发症10例（7.6％）,其中鼻腔粘连5例,眼眶内血肿2例,鼻泪管损伤、术腔少量出血和窦口闭锁各1例.结论 鼻内镜治疗老年慢性鼻窦炎、鼻息肉临床治疗效果好,特别是用于治疗Ⅰ型和Ⅱ型老年人慢性鼻窦炎、鼻息肉临床疗效更佳,术后并发症少,值得临床推荐应用.
Objective To investigate the therapeutic effect of nasal endoscope surgery on chronic sinusitis and nasal polyps in geriatric patients.Methods A total of 132 geriatric patients with chronic sinusitis and nasalpolyps underwent nasal endoscope surgery in our hospital from Jun.2010 to Jun.2014,and the therapeutic effect was investigated.Results In the 132 cases,92 cases were cured （69.7%）.Therapeutic effects were excellent in 33 cases （25.0%）,and invalid in 7 cases （5.3%）.The total effective rate was 94.7%.The total effective rate was 100.0% in type Ⅰ,97.4% in type Ⅱ and 84.8% in type Ⅲ.The total effective rate was higher in type Ⅰ and Ⅱ than in type Ⅲ （χ2=3.506 and 6.218,P=0.035 and 0.012）.Local complications occurred in 10 cases （7.6%）,including 1 case with nasolacrimal duct injury,2 cases with orbital hematoma,5 cases with nasal adhesion,1 case with surgical cavity hemorrhage and 1 case with sinus atresia.Conclusions The therapeutic effects of nasal endoscopesurgery on chronic sinusitis and nasalpolyps are good in geriatric patients,especially in treating chronic sinusitis and nasalpolyps of type Ⅰ and Ⅱ,and the postoperative complications are less,which is worth clinical application.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2015年第4期421-423,共3页
Chinese Journal of Geriatrics
关键词
自然腔道内镜手术
鼻窦炎
鼻息肉
Natural orifice endoscopic surgery
Sinusitis
Nasalpolyps
