摘要
目的:探讨影响慢性鼻-鼻窦炎手术预后的相关因素。方法:回顾性分析210例经鼻内镜手术的慢性鼻-鼻窦炎患者的临床资料,通过Logistic回归模型分析影响慢性鼻-鼻窦炎患者手术预后的诸因素。结果:相关因素分析表明,患者年龄、长期应用鼻减充血剂、鼻窦手术复发、变应性鼻炎病史、鼻内镜术后的综合治疗是影响慢性鼻-鼻窦炎手术预后的独立因素。结论:评估慢性鼻-鼻窦炎手术预后的重要依据是患者年龄、是否长期应用鼻减充血剂、是否伴有变应性鼻炎病史、是否慢性鼻窦炎手术复发患者、是否坚持鼻内镜术后的综合治疗。要强调鼻内镜术后的综合治疗包括鼻内糖皮质激素的应用、术后随访和鼻腔清理、黏液稀化剂和抗生素的应用,可提高鼻内镜手术的治愈率。
Objective ： To investigate the factors influence in the operational therapeutic efficacy for sinusitis. Method：Logistic regression analysis was performed for sex , age , clinical stage of sinusitis , used nasal decongestant preparation , recurrence of sinus surgery,allergic rhinitis, extensive postoperative treatments in 210 pa tients. Result： Age,used nasal decongestant preparation, recurrence of sinus surgery , allergic rhinitis, extensive postoperative treatments were the important factors influenced the operation therapeutic efficacy. Conclusion：Independent prognostic factors for patients with sinusitis after endoscopic sinus surgery are age, used nasal decongestant preparation, recurrence of sinus surgery,allergic rhinitis, extensive postoperative treatments, What＇s more, extensive postoperative treatments are one of the important factors to improve the operational therapeutic efficacy for chronic rhinosinusits.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2009年第17期778-780,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻窦炎
鼻内镜手术
预后因素
sinusitis
endoscopic sinus surgery
prognostic factors
