摘要
目的探讨鼻息肉患者鼻内镜手术治疗疗效及影响因素。方法选取浙江省舟山市妇幼保健院耳鼻喉科2010年1月～2012年1月收治的鼻息肉患者56例为研究对象，采用鼻内镜摘除术，观察患者治疗后的疗效及影响疗效的相关因素。结果56例患者治愈34例，好转15例，无效7例，总有效率达87．5％。且随着分型的不同疗效不同，鼻息肉Ⅰ型、Ⅱ型、Ⅲ型有效率分别为100．0％、83．3％、72．2％，两两比较差异有统计学意义（均P〈0．05）；坚持随访组（n=44）及未坚持随访组（n=12）有效率分别为95．5％和58．3％，差异有统计学意义（P〈0．05）；术后未定期清洗和合理用药患者有效率为50．0％，与定期清洗和合理用药组比较（97．7％），差异有统计学意义（P〈0．05）。术中出现眼部肿痛2例（3．57％），经鼻腔填塞物的处理，2-3d后消失；未出现视力下降及复视现象，无脑脊液鼻漏现象。结论鼻内镜治疗鼻息肉患者效果显著．但影响手术的成败的因素较多，在治疗鼻息肉患者时需要注意相关影响因素，以提高手术的成功率．提高患者的生活质量。
Objective To evaluate the curative effect of nasal polyps treated by endoscopic sinus surgery （ESS） and its influ- ence factor. Methods 56 patients in Department of ENT, Maternal and Child Health Hospital of Zhoushan City from January 2010 to January 2012 with chronic nasal polyps were studied. All patients were treated by ESS. The curative effect and its in- fluence factor were observed. Results Of 56 cases, 34 cases were cured, 15 cases were improved, and 7 cases were invalid, the effective rate was 87.5%. The efficiency was 100.0%, 83.3%, 72.2% respectively according to nasal polyp type I , II, III, the differences were statistically significant （P 〈 0.05）. The efficiency was 95.5% and 58.3% respectively according to in- sistent following-up group （n = 44） and non insistent following-up group （n = 12）, the differences were statistically significant （P 〈 0.05）. The efficiency was 97.7% and 50.0% according to regular cleaning and the rational drug usage group and non regular cleaning and the rational drug usage group, the differences were statistically significant （P 〈 0.05）. 2 cases with eye sore （3.57%） were found, the symptom was disappeared 2-3 days after the nasal cavity filling; no vision diminution, diplopia and eerebrospinal fluid rhinorrhea was found. Conclusion The effect of nasal＂ endoscopic treatment of patients with nasal polyps is significant, but many factors affect the success or failure of the surgery in the treatment of patients with nasal polyps related factors need to pay attention to improve the success rate of surgery, improve the patients quality of life.
出处
《中国医药导报》
CAS
2013年第29期47-49,52,共4页
China Medical Herald
基金
江苏省卫生厅面上科研课题项目(编号H201021)
关键词
鼻息肉
鼻内镜手术
影响因素
Nasal polyps
Endoscopic sinus surgery
Influence factor
