中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
11期
1627-1628
,共2页
鼻窦炎%内窥镜检查%外科手术,微创性
鼻竇炎%內窺鏡檢查%外科手術,微創性
비두염%내규경검사%외과수술,미창성
Sinusitis%Endoscopic examination%Surgery,minimally invasive
目的 探讨中鼻甲外侧壁切除对鼻内镜下鼻窦炎手术的疗效影响.方法 选取鼻窦炎患者100例,按随机数字表法分为观察组和对照组各50例,对照组实施鼻内镜下鼻窦炎手术治疗,而观察组在鼻内镜下鼻窦炎手术基础上实施中鼻甲外侧壁切除治疗,观察比较两组临床疗效、并发症发生率及复发率.结果 观察组总有效率为94.0％,对照组总有效率为90.0％,两组差异无统计学意义(x2=0.36,P＞0.05).观察组术后并发症发生率为6.0％,低于对照组的16.0％(x2 =7.36,P＜0.05);观察组复发率为6.0％,低于对照组的18.0％(x2=8.19,P＜0.05).观察组住院时间为(6.3±2.1)d和局部冲洗次数为(1.3±0.4)次,低于对照组的(8.4±2.5)d、(4.2±1.2)次(t=11.301、7.024,均P＜0.05).结论 鼻窦炎患者在接受鼻内镜下鼻窦炎手术的同时可以实施中鼻甲外侧壁切除治疗,不仅具有较好的临床疗效,且对患者鼻腔解剖结构也无破坏作用,能够有效地保证中鼻道的宽大,降低术后黏连的发生,值得在临床中应用.
目的 探討中鼻甲外側壁切除對鼻內鏡下鼻竇炎手術的療效影響.方法 選取鼻竇炎患者100例,按隨機數字錶法分為觀察組和對照組各50例,對照組實施鼻內鏡下鼻竇炎手術治療,而觀察組在鼻內鏡下鼻竇炎手術基礎上實施中鼻甲外側壁切除治療,觀察比較兩組臨床療效、併髮癥髮生率及複髮率.結果 觀察組總有效率為94.0％,對照組總有效率為90.0％,兩組差異無統計學意義(x2=0.36,P＞0.05).觀察組術後併髮癥髮生率為6.0％,低于對照組的16.0％(x2 =7.36,P＜0.05);觀察組複髮率為6.0％,低于對照組的18.0％(x2=8.19,P＜0.05).觀察組住院時間為(6.3±2.1)d和跼部遲洗次數為(1.3±0.4)次,低于對照組的(8.4±2.5)d、(4.2±1.2)次(t=11.301、7.024,均P＜0.05).結論 鼻竇炎患者在接受鼻內鏡下鼻竇炎手術的同時可以實施中鼻甲外側壁切除治療,不僅具有較好的臨床療效,且對患者鼻腔解剖結構也無破壞作用,能夠有效地保證中鼻道的寬大,降低術後黏連的髮生,值得在臨床中應用.
목적 탐토중비갑외측벽절제대비내경하비두염수술적료효영향.방법 선취비두염환자100례,안수궤수자표법분위관찰조화대조조각50례,대조조실시비내경하비두염수술치료,이관찰조재비내경하비두염수술기출상실시중비갑외측벽절제치료,관찰비교량조림상료효、병발증발생솔급복발솔.결과 관찰조총유효솔위94.0％,대조조총유효솔위90.0％,량조차이무통계학의의(x2=0.36,P＞0.05).관찰조술후병발증발생솔위6.0％,저우대조조적16.0％(x2 =7.36,P＜0.05);관찰조복발솔위6.0％,저우대조조적18.0％(x2=8.19,P＜0.05).관찰조주원시간위(6.3±2.1)d화국부충세차수위(1.3±0.4)차,저우대조조적(8.4±2.5)d、(4.2±1.2)차(t=11.301、7.024,균P＜0.05).결론 비두염환자재접수비내경하비두염수술적동시가이실시중비갑외측벽절제치료,불부구유교호적림상료효,차대환자비강해부결구야무파배작용,능구유효지보증중비도적관대,강저술후점련적발생,치득재림상중응용.
Objective To investigate the effects of lateral wall of the middle turbinate resection on the efficacy of endoscopic sinus surgery.Methods 100 patients with sinusitis were randomly divided into the study group and the control group,50 cases in each group.The control group received nasal endoscopic sinus surgery,while patients in the study group received endoscopic sinus surgery based on the implementation of the middle turbinate resection of the lateral wall.The clinical effect was observed and compared.Results The total effective rate of the study group was 94.0％,that of the control group was 90.0％,the difference between the two groups was not significant(x2 =0.36,P ＞ 0.05).The incidence rate of postoperative complications of the study group was 6.0％,which was significantly lower than 16.0％ of the control group (x2 =7.36,P ＜ 0.05).The recurrence rate of the study group was 6.0％,which was significantly lower than 18.0％ in the control group (x2 =8.19,P ＜ 0.05).The hospitalization time and local irrigation frequency in the study group were significantly lower than those of the control group (t =11.301,7:024,all P ＜ 0.05).Conclusion For clinical sinusitis patients undergoing endoscopic sinus surgery,the lateral wall of the middle turbinate resection can be implemented,it not only has better clinical efficacy and the patients' nasal anatomy has no destruction,but also can effectively guarantee the wide nasal passages,reduce postoperative adhesions,which worthy of clinical application.
