摘要
目的观察不同内镜术式治疗慢性鼻窦炎(CRS)的临床效果。方法选择我院2016年1月至2019年12月收治的80例CRS患者,依据不同的手术方式分为对照组与观察组各40例。对照组采用Messerklinger术式,观察组采用经前囟钩突切除术。比较两组患者的临床疗效、黏膜纤毛传输时间(MTT)和SF-36评分。结果观察组治疗总有效率为92.50%,明显高于对照组的75.00%(P <0.05)。治疗前,两组的MTT、 SF-36评分比较差异无统计学意义(P>0.05);治疗后,两组的MTT明显短于治疗前,SF-36评分明显高于治疗前,且观察组的MTT明显短于对照组,SF-36评分明显高于对照组(P <0.05)。结论经前囟钩突切除术治疗CRS患者可有效提高临床疗效,缩短MTT,并提高其生活质量。
Objective To observe the clinical effects of different endoscopic surgery in the treatment of chronic rhinosinusitis(CRS).Methods 80 CRS patients admitted to our hospital from January 2016 to December 2019 were selected and divided into control group and observation group according to different surgical methods,with 40 cases in each group.The control group received Messerklinger surgery,and the observation group received uncinate process resection through anterior fontanelle.The clinical efficacy,mucociliary transport time(MTT)and SF-36 score were compared between the two groups.Results The total effective rate of treatment in the observation group was 92.50%,significantly higher than 75.00%in the control group(P<0.05).Before treatment,no statistical difference was found in the MTT and SF-36 score between the two groups(P>0.05).After treatment,the MTT of the two groups were significantly shorter than those before treatment,and the SF-36 scores were significantly higher than those before treatment(P<0.05);The MTT of the observation group was significantly shorter than that of the control group,and the SF-36 score was significantly higher than that of the control group(P<0.05).Conclusions Uncinate process resection through anterior fontanelle in the treatment of CRS patients can effectively improve the clinical efficacy,shorten the MTT,and improve the quality of life.
作者
林冼宝
何武光
陈小燕
陈云
李土坤
LIN Xianbao;HE Wuguang;CHEN Xiaoyan;CHEN Yun;LI Tukun(Department of Otolaryngology Head and Neck Surgery,Huazhou People's Hospital,Huazhou 525100,China)
出处
《临床医学工程》
2021年第3期279-280,共2页
Clinical Medicine & Engineering
关键词
慢性鼻窦炎
鼻内镜
黏膜纤毛传输时间
生活质量
Chronic rhinosinusitis
Nasal endoscopy
Mucociliary transport time
Quality of life
