摘要
目的 探究在功能性鼻内镜手术的基础上,对慢性鼻-鼻窦炎并鼻中隔偏曲患者加用鼻中隔个性化减张矫正术治疗的临床疗效及美学效果。方法 156例慢性鼻-鼻窦炎并鼻中隔偏曲患者,以随机数字表法分为对照组和观察组,每组78例。两组患者均行功能性鼻内镜手术治疗,在此基础上,对照组患者配合鼻中隔常规减张矫正术,观察组患者配合鼻中隔个性化减张矫正术。比较两组患者治疗效果、围术期指标以及美学效果。结果 观察组治疗总有效率为98.72%,高于对照组的88.46%,差异具有统计学意义(P<0.05)。观察组手术时间(28.54±2.43)min、住院时间(4.98±0.45)d、鼻腔通气恢复时间(3.21±0.25)d、鼻黏膜恢复时间(5.67±0.29)d短于对照组的(35.94±3.02)min、(6.92±0.65)d、(5.82±0.31)d、(7.71±0.34)d,术中出血量(37.29±2.12)ml少于对照组的(46.03±3.87)ml,差异具有统计学意义(P<0.05)。治疗后,观察组鼻外形偏曲程度(2.05±0.25)mm小于对照组的(2.99±0.33)mm,差异具有统计学意义(P<0.05)。结论 在功能性鼻内镜手术的基础上,对慢性鼻-鼻窦炎并鼻中隔偏曲患者加用鼻中隔个性化减张矫正术治疗效果显著,围术期指标更佳,术后具有更高的美学效果,临床应用价值显著。
Objective To investigate the clinical efficacy and aesthetic effects of functional endoscopic sinus surgery combined with individualized nasal septum decompression and correction in patients with chronic rhinosinusitis and nasal septum deviation.Methods A total of 156 patients with chronic rhinosinusitis and nasal septum deviation were divided into a control group and an observation group according to random numerical table,with 78 cases in each group.Patients in both groups were treated with functional endoscopic sinus surgery.On this basis,patients in the control group were treated with routine nasal septum decompression and correction,and patients in the observation group were treated with individualized nasal septum decompression and correction.The therapeutic effects,perioperative indexes and aesthetic effects were compared between the two groups.Results The total effective rate in the observation group was 98.72%,which was higher than that of 88.46%in the control group,and the difference was statistically significant(P<0.05).In the observation group,the operative time was(28.54±2.43)min,the hospitalization time was(4.98±0.45)d,the recovery time of nasal ventilation was(3.21±0.25)d,and the recovery time of nasal mucosa was(5.67±0.29)d,which were shorter than those of(35.94±3.02)min,(6.92±0.65)d,(5.82±0.31)d,and(7.71±0.34)d in the control group;the intraoperative blood loss of(37.29±2.12)ml in the observation group was less than that of(46.03±3.87)ml in the control group;the differences were statistically significant(P<0.05).After treatment,the degree of nasal profile deviation in the observation group was(2.05±0.25)mm,which was smaller than that of(2.99±0.33)mm in the control group,and the difference was statistically significant(P<0.05).Conclusion The patients with chronic rhinosinusitis and nasal septum deviation treated by functional endoscopic sinus surgery combined with individualized nasal septum decompression and correction have significant therapeutic effect,better perioperative indicators,higher aesthetic effect after surgery,and significant clinical application value.
作者
康霜莲
张国民
KANG Shuang-lian;ZHANG Guo-min(Jiaomei Community Health Service Center of Zhangzhou Taiwan Residents Investment Zone,Zhangzhou 363107,China)
出处
《中国现代药物应用》
2024年第1期52-55,共4页
Chinese Journal of Modern Drug Application
关键词
鼻中隔个性化减张矫正术
鼻中隔偏曲
慢性鼻-鼻窦炎
功能性鼻内镜手术
Individualized nasal septum decompression and correction
Nasal septum deviation
Chronic rhinosinusitis
Functional endoscopic sinus surgery
