摘要
目的观察鼻窦内镜术治疗鼻窦炎鼻息肉的疗效和对鼻腔气流的影响。方法收集2014年5月至2016年5月收治的110例鼻窦炎鼻息肉患者,按照随机原则将患者分别分为对照组和观察组,每组55例。对照组采用传统的手术治疗,观察组采用鼻窦内镜术治疗,对两组的临床疗效、手术前后3个月鼻气道总阻力、嗅觉功能及声反射鼻腔指标进行比较。结果两组患者的临床资料比较差异无统计学意义(P>0.05)。观察组临床总有效率(87.27%)明显高于对照组(63.63%),差异有显著性(P<0.05)。术后4个月,两组鼻气道总阻力、嗅觉功能以及声反射鼻腔指标均明显改善(P<0.05);观察组术后鼻气道总阻力及嗅觉功能评分均显著低于对照组,差异有统计学意义(P<0.05);鼻腔容积(NCV)、鼻腔最小横截面积(NMCA)明显高于对照组,鼻腔最小横截面积到前鼻孔的距离(DCAN)明显低于对照组,差异均有统计学意义(P<0.05)。结论鼻窦内镜术治疗鼻窦炎鼻息肉临床疗效显著,能够改善鼻腔通气状况,促进嗅觉的恢复和改善。
Objective To observe and analyze the effect of nasal endoscopic surgery in treatment of sinusitis and nasal polyps on nasal airflow.Methods A total of 110 patients with sinusitis and nasal polyps admitted in this hospital during May 2014 to May 2016 were randomly divided into two groups for a retrospective study,55 cases in each group.Patients in control group were treated with conventional surgery,and patients in observation group were treated with nasal endoscopic surgery.The clinical effect of these two groups,the total resistance of nasal airway,olfactory function and acoustic reflex were compared between these two groups before and 3 months after the operation.Results The difference in clinical data of patients compared between these two groups was not statistically significant（ P〈0.05）.The total clinical effective rate（ 87.27 %） of patients in observation group was obviously higher than that（ 63.63 %） of patients in control group,and the difference was significant.The total resistance of nasal airway and olfactory function and sound reflection nasal index in these 2 groups after 4 months were significantly improved（ P〉0.05）.The total postoperative nasal airway resistance and olfactory function scores in observation group were significantly lower than those of control group,and the difference was statistically significant（ P〈0.05）.The nasal cavity volume（ NCV） and nasal minimum cross-sectional area（ NMCA） were significantly higher than those of control group,the nasal distance minimum cross-sectional area to former nostrils（ DCAN） was significantly lower than that of control group,and the difference had statistical significance（ P〈0.05）.Conclusion Nasal endoscopic surgery in treatment of sinusitis and nasal polyps has significant curative effect and it can greatly improve the olfactory function in patients with sinusitis and nasal polyps.
出处
《临床和实验医学杂志》
2017年第3期283-285,共3页
Journal of Clinical and Experimental Medicine
关键词
鼻窦炎
鼻息肉
鼻窦内镜术
鼻腔气流
Sinusitis
Nasal polyps
Nasal endoscopy
Nasal airflow
