| 罗 敏,段金芳,孙 刚,李玉洁,陈 红.鼻窦内镜术治疗鼻窦炎合并鼻息肉的疗效及对鼻腔通气和嗅觉功能的影响[J].,2017,17(23):4572-4575 |
| 鼻窦内镜术治疗鼻窦炎合并鼻息肉的疗效及对鼻腔通气和嗅觉功能的影响 |
| Effect of Endoscopic Sinus Surgery in the Treatment of Sinusitis and Nasal Polyps and Its Effect on Nasal Ventilation and Olfactory Function |
| 投稿时间：2017-03-28 修订日期：2017-04-22 |
| DOI：10.13241/j.cnki.pmb.2017.23.041 |
| 中文关键词: 鼻窦炎 鼻息肉 鼻窦内镜术 嗅觉功能 鼻腔通气 |
| 英文关键词: Sinusitis Nasal polyps Endoscopic sinus surgery Olfactory function Nasal ventilation |
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| 摘要 目的：探讨鼻窦内镜术治疗鼻窦炎合并鼻息肉的临床疗效及对鼻腔通气和嗅觉功能的影响。方法：选取2014年1月至2016年6月我院收治的鼻窦炎合并鼻息肉患者80例。根据随机数字表法分为观察组和对照组，各40例。对照组给予传统摘除术治疗，观察组则行鼻窦内镜术治疗。比较两组临床疗效以及治疗前、治疗后3个月症状评分、鼻气道总阻力、嗅觉功能评分。结果：观察组治疗总有效率为95.00%，显著高于对照组的77.50%（P＜0.05）。治疗前两组患者鼻塞、脓涕、嗅觉障碍、疼痛及总症状评分比较无统计学差异（P>0.05），治疗后3个月两组患者鼻塞、脓涕、嗅觉障碍、疼痛及总症状评分均低于治疗前，且观察组患者鼻塞、脓涕、嗅觉障碍、疼痛及总症状评分低于对照组（P＜0.05）。治疗前两组患者鼻气道总阻力、嗅觉功能评分比较无统计学差异（P>0.05），治疗后3个月两组患者鼻气道总阻力、嗅觉功能评分均低于治疗前，且观察组低于对照组（均P＜0.05）。结论：鼻窦内镜术治疗鼻窦炎合并鼻息肉有利于改善患者临床症状，促进患者嗅觉功能以及鼻腔通气的恢复，是治疗鼻窦炎合并鼻息肉的有效方法。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the clinical effect of endoscopic sinus surgery in the treatment of sinusitis and nasal polyps and its effect on nasal ventilation and olfactory function. Methods: 80 patients with sinusitis and nasal polyps were selected in our hospi- tal from January 2014 to June 2016, who were randomly divided into observation group and control group, each group of 40 cases. The control group was treated with traditional enucleation, while the observation group was treated with endoscopic sinus surgery. The clini- cal efficacy, the symptom scores, nasal airway resistance and olfactory function score before treatment and 3 months after treatment were compared between the two groups. Results: The total effective rate of the observation group was 95.00%, which was significantly higher than that of the control group 77.50% (P<0.05). There was no significant difference in nasal congestion, purulent nasal discharge, olfactory dysfunction, pain and total symptom score between the two groups before treatment (P>0.05), nasal congestion, purulent nasal discharge, olfactory dysfunction, pain and total symptom score between the two groups at 3 months after treatment were lower than before treat- ment, and nasal pus, smell disorder, pain and total symptom scores of the patients in the observation group were lower than the control group (P<0.05). There was no significant difference in nasal airway resistance and olfactory function score between the two groups before treatment and 3 months after treatment (P>0.05), nasal airway resistance, olfactory function score of patients in two groups at 3 months after treatment were lower than before treatment, and the observation group was lower than that of the control group (P<0.05). Conclusion: Endoscopic sinus surgery for sinusitis and nasal polyps is helpful to improve the clinical symptoms, promote the olfactory function and recovery of nasal ventilation, which is an effective method for treatment of sinusitis and nasal polyps. |
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