中国学术期刊网络出版总库入编期刊
CNKI中文期刊全文数据库全文收录期刊
中国核心期刊(遴选)数据库全文收录期刊
万方数据——数字化期刊群收录期刊
中文科技期刊数据库全文收录期刊

主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

鼻内镜手术与传统开放性手术治疗复发性鼻窦炎鼻息肉的临床效果分析

汪世浩

(富平县医院,陕西 渭南,711700)

浏览次数:127次 下载次数:307次

摘要:

目的 比较分析鼻内镜手术与传统开放性手术治疗复发性鼻窦炎鼻息肉的临床效果。方法 选择2012年1月至2016年12月在我院进行诊治的80例复发性鼻窦炎鼻息肉患者,随机分为观察组与对照组,每组40 例。对照组患者给予传统的开放性 手术治疗,观察组患者给予鼻内镜手术治疗,比较两组的临床治疗效果、术后住院时间及病情控制时间。结果 观察组患者的 治疗总有效率为92.50%(37/40),明显高于对照组的75.00%(30/40)(P<0.05)。观察组患者的术后住院时间及病情控制时间均明显短于对照组(P<0.05)。结论 鼻内镜手术治疗复发性鼻窦炎鼻息肉的临床效果显著优于传统开放性手术,不仅可以明 显提高治疗有效率,还可以有效缩短术后住院时间以及病情控制时间,具有较高的临床应用价值。

关键词:鼻内镜手术;传统开放性手术;复发性鼻窦炎鼻息肉

中图分类号:R765.9文献标志码:A文章编号:2096-1413(2018)04-0078-02

    Clinical effects of nasal endoscopic surgery and traditional open surgery on recurrent sinusitis and nasal polyps
    WANG Shi-hao
    (the Hospital of Fuping County, Weinan 711700, China)

    ABSTRACT: Objective To compare the clinical effects of nasal endoscopic surgery and traditional open surgery on recurrent sinusitis and nasal polyps. Methods From January 2012 to December 2016, 80 cases of patients with recurrent sinusitis and nasal polyps in our hospital were randomly divided into observation group and control group, with 40 cases in each group. The patients in the control group were given traditional open surgery, while the observation group received endoscopic sinus surgery. The clinical efficacy, postoperative hospitalization time and the time of disease control were compared between the two groups. Results The total effective rate of the observation group was 92.50% (37/40), which was significantly higher than 75.00% (30/40) of the control group (P<0.05). The postoperative hospitalization time and the time of disease control in the observation group were significantly shorter than those in the control group (P<0.05). Conclusion Nasal endoscopic surgery has better effect in the treatment of recurrent sinusitis and nasal polyps than the traditional open surgery, which can not only significantly improve the treatment efficiency, but also effectively shorten the postoperative hospitalization time and the time of disease control. It has high value in clinical application.
    KEYWORDS: endoscopic sinus surgery; traditional open surgery; recurrent sinusitis and nasal polyps

    参考文献:
    [1] 陈志鹏,彭伟,李文生,等.鼻内镜手术对慢性鼻窦炎鼻息肉患者嗅功能的改善作用[J].中华实用诊断与治疗杂志,2014,28(4):388-389.
    [2] 吴敬东.复发性鼻窦炎鼻息肉鼻内镜术后嗅觉功能恢复以及生存质量回归的研究[J].临床和实验医学杂志,2013,12(21):1729-1732.
    [3] 中华医学会耳鼻咽喉科学分会,中华耳鼻咽喉科杂志编委会慢性鼻息肉、鼻窦炎临床分型、分期及内窥镜手术疗效评定标准[J].中华耳鼻咽喉科杂志,1998,33(3):134-135.
    [4] KIM DH,HAN K,KIM SW.Effect of chronic rhinosinusitis with or without nasal polyp on quality of life in south Korea: 5th Korea national health and nutrition examination survey Korean[J].Clin Exp Otorhinolaryngol,2016,9(2):150-156.
    [5] 娄鸿飞,王成硕,张罗.经鼻雾化吸入布地奈德混悬液和口服激素 治疗慢性鼻-鼻窦炎鼻息肉的疗效及安全性的对比研究[J].临床 耳鼻咽喉头颈外科杂志,2015,29(9):792-796.
    [6] 贾艳辉,王艳军,亚力坤·亚生.嗜酸性粒细胞性和非嗜酸性粒细胞性的慢性鼻窦炎鼻息肉部分临床对比研究[J].武警后勤学院学报: 医学版,2013,22(5):370-373.
    [7] 农应全,梅晓峰,梁海春.慢性鼻窦炎鼻息肉鼻内镜手术后应用甲泼尼龙与泼尼松的疗效对比分析[J].广西医科大学学报,2014,31(1):107-109.
    [8] 王雪松,薛金梅,赵长青,等.初次鼻内镜手术与修正性鼻内镜手术对慢性鼻窦炎伴鼻息肉患者生活质量的影响[J].中国药物与临床,2013,13(5):559-561.
    [9] 安明元,冯智敏,王晓英,等.护理干预对鼻内镜下治疗慢性鼻窦炎鼻息肉患者临床疗效的影响[J].国际医药卫生导报,2014,20(3):425-427.

上一篇美容整形手术治疗老年性下睑松弛的临床效果

下一篇脑梗死合并睡眠呼吸暂停综合征相关危险因素的分析