CAJ | 학술논문

目的：探讨鼻窦内窥镜手术与药物保守治疗慢性鼻-鼻窦炎临床效果。方法：收集2002年5月~2012年3月治疗的800例慢性鼻-鼻窦炎患者，随机分成A组和B组各400例，A组进行系统药物治疗，B组行功能性内镜鼻窦手术联合系统药物治疗。结果：A组治愈321例，治愈率为80.25%，有效53例，有效率为13.25%，无效26例，总有效率为93.5%；B组治愈316例，治愈率为79.00%，有效59例，有效率为14.75%，无效25例，总有效率为93.75%，两组比较差异无统计学意义（P﹥0.05）。结论：对于慢性鼻-鼻窦炎的治疗首选药物治疗，若药物治疗效果不佳的时候再选中手术治疗，才能达到较好的临床效果。
목적：탐토비두내규경수술여약물보수치료만성비-비두염림상효과。방법：수집2002년5월~2012년3월치료적800례만성비-비두염환자，수궤분성A조화B조각400례，A조진행계통약물치료，B조행공능성내경비두수술연합계통약물치료。결과：A조치유321례，치유솔위80.25%，유효53례，유효솔위13.25%，무효26례，총유효솔위93.5%；B조치유316례，치유솔위79.00%，유효59례，유효솔위14.75%，무효25례，총유효솔위93.75%，량조비교차이무통계학의의（P﹥0.05）。결론：대우만성비-비두염적치료수선약물치료，약약물치료효과불가적시후재선중수술치료，재능체도교호적림상효과。
Objective To investigate the endoscopic sinus surgery with conservative medical treatment for chronic nasal - sinusitis clinical effect. Methods 800 patients in our hospital from May 2002 to March 2012 treatment of chronic nose - sinusitis patients were randomly divided into group A and group B,400 cases in each group A systematic drug treatment,the B group of rows functional endoscopic sinus surgery combined system medication. Results A group of 321 cases were cured,the cure rate was 80. 25%,effective 53 cases,the ef-fective rate of 13. 25%,invalid 26 cases,total effective rate was 93. 5%;B group 316 cases were cured,the cure rate was 79. 00%,effective 59 cases,the effective rate of 14. 75%,ineffective in 25 cases,with a total effective rate of 93. 75%,the two groups showed no significant difference(P﹥0. 05). Conclusion The for chronic nose - the drug of choice for treatment of sinusitis,if surgical treatment is the medica-tion ineffective when selected,in order to achieve better clinical results.