CAJ | 학술논문

目的：评价中鼻甲部分切除术在慢性鼻-鼻窦炎患者鼻内镜手术后的疗效。方法对122例已行鼻内镜手术的慢性鼻-鼻窦炎患者的临床资料进行回顾性分析，采用视觉模拟量表（VAS）、鼻腔鼻窦结局测试-20中文版（SNOT-20 CV）量表、Lund-Mackay CT方法和Lund-Kennedy鼻内镜方法进行主客观评分，综合评价中鼻甲部分切除患者与中鼻甲保留患者治疗前后的临床疗效。结果①两组患者术前合并鼻息肉和/或鼻中隔偏曲发生率差异有统计学意义(P<0.05)，而单纯合并变应性鼻炎和/或支气管哮喘的发生率差异无统计学意义(P>0.05)；②两组患者术前CT及鼻内镜评分差异有统计学意义(P<0.05)，而VAS及SNOT-20CV评分差异无统计学意义(P>0.05)；③两组患者术后半年与术前鼻内镜评分的差异有统计学意义(P<0.05)，而VAS及SNOT-20CV评分差异无统计学意义(P>0.05)。结论行中鼻甲部分切除的慢性鼻-鼻窦炎患者多合并鼻息肉和/或鼻中隔偏曲，与中鼻甲保留患者术前及术后的生存质量无明显差异，而行中鼻甲部分切除患者术后的内镜评分明显提高。
목적：평개중비갑부분절제술재만성비-비두염환자비내경수술후적료효。방법대122례이행비내경수술적만성비-비두염환자적림상자료진행회고성분석，채용시각모의량표（VAS）、비강비두결국측시-20중문판（SNOT-20 CV）량표、Lund-Mackay CT방법화Lund-Kennedy비내경방법진행주객관평분，종합평개중비갑부분절제환자여중비갑보류환자치료전후적림상료효。결과①량조환자술전합병비식육화/혹비중격편곡발생솔차이유통계학의의(P<0.05)，이단순합병변응성비염화/혹지기관효천적발생솔차이무통계학의의(P>0.05)；②량조환자술전CT급비내경평분차이유통계학의의(P<0.05)，이VAS급SNOT-20CV평분차이무통계학의의(P>0.05)；③량조환자술후반년여술전비내경평분적차이유통계학의의(P<0.05)，이VAS급SNOT-20CV평분차이무통계학의의(P>0.05)。결론행중비갑부분절제적만성비-비두염환자다합병비식육화/혹비중격편곡，여중비갑보류환자술전급술후적생존질량무명현차이，이행중비갑부분절제환자술후적내경평분명현제고。
Objective To evaluate differences in chronic rhinosinusitis after endoscopic sinus surgery for patients with and without partial middle turbinate resection(PMT).Methods The clinical data of 122 patients with chronic rhinosinusitis treated by nasal endoscopic were analyzed by retrospective analysis.Using visual analogue scale(VAS),sino-nasal outcome test-20 Chinese version scales(SNOT-20 CV),Lund-Mackay CT and Lund-Kennedy endoscopy methods to do the subjective and objective assessment.Comprehensive evaluation of clinical outcome for patients with and without partial middle turbinate resection was performed before and after treatment.Results①Patients with PMT resection were more likely to have nasal polyps and/or deviation of nasal septum compared to those with PMT preservation(P<0.05),but there was no significant differences between the incidence rate of allergic rhinitis and/or asthma in the two groups(P>0.05);②Patients with PMT resection had significantly higher baseline disease burden measured by endoscopy and CT scores(P<0.05),but there was no significant differences in VAS and SNOT-20CV scores between patients with PMT resection and those with PMT preservation before surgery(P>0.05);③Patients undergoing PMT resection were more likely to show improvements in endoscopy scores(P<0.05),but no significant differences in improvement were found in VAS and SNOT-20CV scores between patients with PMT resection and those with PMT preservation after endoscopic sinus surgery(P>0.05).Conclusion Our study shows that Patients undergoing partial resection of middle turbinate were usually combined with nasal polyps and/or deviation of nasal septum.We also found there was no difference in baseline quality-of-life between or quality-of-life improvement after endoscopic sinus surgery.Patients undergoing partial resection of middle turbinate did,however,show greater improvements in endoscopy scores.