摘要
目的探讨鼻内镜下鼻丘径路额窦开放联合中鼻甲切除术治疗难治性鼻-鼻窦炎的临床价值。方法选取2013年3月—2017年3月收治的难治性鼻-鼻窦炎患者78例为研究对象,以随机数字表法分为对照组39例,观察组39例,对照组行鼻内镜下鼻丘径路额窦开放手术治疗,观察组在对照组基础上联合中鼻甲切除术治疗,观察两组治疗总有效率、安全性及复发情况、手术前后嗅觉功能。结果治疗总有效率显示,观察组为97.44%,同对照组84.62%比较,差异有统计学意义(P<0.05);两组术前嗅觉评分无显著差异,术后观察组明显较对照组低,差异有统计学意义(P<0.05);并发症发生率显示,观察组为12.82%,同对照组7.69%比较,差异无统计学意义(P>0.05);随访期间观察组未见复发病例,对照组复发率为10.26%,差异有统计学意义(P<0.05)。结论鼻内镜下鼻丘径路额窦开放联合中鼻甲切除术治疗难治性鼻-鼻窦炎,效果显著,可明显改善患者嗅觉,且复发率低,值得推广。
Objective To investigate the clinical value of frontal sinusotomy through agger nasi under nasal endoscope combined with middle turbinectomy in the treatment of intractable rhinosinusitis. Methods Seventy-eight patients with intractable rhinosinusitis treated in our hospital from March 2013 to March 2017 were selected as the subjects and were assigned into the control group and the observation group with the use of random number table,with 39 cases in each group.The control group was treated with frontal sinusotomy through agger nasi under nasal endoscope,while the observation group received middle turbinectomy based on the treatment in the other group. The total efficiency,safety,recurrence and the olfactory function before and after the operation of the two groups were observed. Results The total effective rate of treatment in the observation group was 97. 44 %,and was statistically significantly different（ P 0. 05） from that of the control group（ 84. 62%）. There was no significant difference in olfactory function score between the two groups before treatment,while the scores of the observation group were significantly lower than those of the control group after treatment（ P 0. 05）. The incidence of complications was 12. 82 % in the observation group and 7. 69 % in the control group,and the difference was not statistically significant（ P 0. 05）. No recurrence was found in the observation group during the follow-up period,while the recurrence rate of the control group was 10. 26 % withstatistically significant difference（ P 0. 05）. Conclusion Frontal sinusotomy through agger nasi under nasal endoscope combined with middle turbinectomy has a significant clinical effect on the treatment of intractable rhinosinusitis. It can significantly improve patients＇ olfactory function and has a low recurrence. Therefore,it is worthy of promotion.
作者
刘小晶
文凤妮
唐利衡
LIU Xiaojing;WEN Fengni;TANG Liheng
出处
《现代医院》
2018年第4期579-581,共3页
Modern Hospitals
关键词
难治性鼻-鼻窦炎
中鼻甲切除
鼻丘径路额窦开放
鼻内镜
Intractable Rhinosinusitis
Middle Turbinectomy
Frontal Sinusotomy Through Agger Nasi
Nasal Endo-scope
