中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2013年
6期
511-513
,共3页
陈禹潭%曹金红%李艳妮%梁耕田
陳禹潭%曹金紅%李豔妮%樑耕田
진우담%조금홍%리염니%량경전
内窥镜检查%耳鼻喉外科手术%鼻窦炎%因素分析,统计学
內窺鏡檢查%耳鼻喉外科手術%鼻竇炎%因素分析,統計學
내규경검사%이비후외과수술%비두염%인소분석,통계학
Endoscopy%Otorhinolaryngologic surgical procedures%Sinusitis%Factors analysis,statistical
目的 探讨鼻内镜手术治疗慢性鼻-鼻窦炎(chronic rhinosinusitis,CRS)的临床疗效和影响因素.方法 收集鼻内镜手术治疗的337例CRS患者的临床资料,包括:性别、年龄、文化程度、病程、住院天数、药物治疗史、吸烟、饮酒、前期手术史、变应性鼻炎(allergic rhinitis,AR)病史、临床分类、视觉模拟量表(visual analogue scale,VAS)评分、鼻内镜检查评分、鼻息肉多发与否、CT检查评分、患病侧别、鼻腔粘连和术后随访依从性,术后6个月根据1997年海口标准进行鼻内镜手术疗效评定,采用SPSS 18.0软件对结果进行x2检验和Logistic回归分析.结果 CRS患者鼻内镜手术后痊愈298例(88.4％),好转29例(8.6％),无效10例(3.0％).CRS不伴鼻息肉组患者的临床疗效优于CRS伴鼻息肉组的患者,差异有统计学意义(x2=10.932,P＜0.01).经多因素Logistic回归分析得出,CRS临床分类、是否伴AR、VAS评分、鼻内镜检查评分、CT检查评分、鼻息肉多发与否、术后是否并发鼻腔粘连和术后随访依从性是影响临床疗效的最主要因素.结论 CRS患者的疗效除手术本身影响因素外,还受到如临床分类、是否伴AR等多种因素影响.
目的 探討鼻內鏡手術治療慢性鼻-鼻竇炎(chronic rhinosinusitis,CRS)的臨床療效和影響因素.方法 收集鼻內鏡手術治療的337例CRS患者的臨床資料,包括:性彆、年齡、文化程度、病程、住院天數、藥物治療史、吸煙、飲酒、前期手術史、變應性鼻炎(allergic rhinitis,AR)病史、臨床分類、視覺模擬量錶(visual analogue scale,VAS)評分、鼻內鏡檢查評分、鼻息肉多髮與否、CT檢查評分、患病側彆、鼻腔粘連和術後隨訪依從性,術後6箇月根據1997年海口標準進行鼻內鏡手術療效評定,採用SPSS 18.0軟件對結果進行x2檢驗和Logistic迴歸分析.結果 CRS患者鼻內鏡手術後痊愈298例(88.4％),好轉29例(8.6％),無效10例(3.0％).CRS不伴鼻息肉組患者的臨床療效優于CRS伴鼻息肉組的患者,差異有統計學意義(x2=10.932,P＜0.01).經多因素Logistic迴歸分析得齣,CRS臨床分類、是否伴AR、VAS評分、鼻內鏡檢查評分、CT檢查評分、鼻息肉多髮與否、術後是否併髮鼻腔粘連和術後隨訪依從性是影響臨床療效的最主要因素.結論 CRS患者的療效除手術本身影響因素外,還受到如臨床分類、是否伴AR等多種因素影響.
목적 탐토비내경수술치료만성비-비두염(chronic rhinosinusitis,CRS)적림상료효화영향인소.방법 수집비내경수술치료적337례CRS환자적림상자료,포괄:성별、년령、문화정도、병정、주원천수、약물치료사、흡연、음주、전기수술사、변응성비염(allergic rhinitis,AR)병사、림상분류、시각모의량표(visual analogue scale,VAS)평분、비내경검사평분、비식육다발여부、CT검사평분、환병측별、비강점련화술후수방의종성,술후6개월근거1997년해구표준진행비내경수술료효평정,채용SPSS 18.0연건대결과진행x2검험화Logistic회귀분석.결과 CRS환자비내경수술후전유298례(88.4％),호전29례(8.6％),무효10례(3.0％).CRS불반비식육조환자적림상료효우우CRS반비식육조적환자,차이유통계학의의(x2=10.932,P＜0.01).경다인소Logistic회귀분석득출,CRS림상분류、시부반AR、VAS평분、비내경검사평분、CT검사평분、비식육다발여부、술후시부병발비강점련화술후수방의종성시영향림상료효적최주요인소.결론 CRS환자적료효제수술본신영향인소외,환수도여림상분류、시부반AR등다충인소영향.
Objective To explore the clinical effect and the influence factors after endoscopic surgery for chronic sinusitis.Methods The clinical data of 337 patients with chronic sinusitis treated by endoscopic surgery were analyzed,including gender,age,culture level,course of the disease,the days of hospitalization,medical history,smoking,drinking,early surgery history,allergic rhinitis (AR) history,clinical classification,visual analogue scale (VAS) score,nasal endoscopy score,nasal polyps,CT examination score,side,nasal adhesion and postoperative follow-up compliance.The clinical effect of endoscopic sinus surgery was evaluated 6 months after operation according to the 1997 Haikou standard.SPSS 18.0 software and conducted chi-square test and logistic regression analysis were used to analyze the data.Results Three hundred and thirty-seven chronic sinusitis patients were followed up after endoscopic surgery.It was found that 298 cases (88.4％) cured,29 cases (8.6％) improved,10 cases (3.0％)invalid.The clinical curative effect of the patients with chronic rhinosinusitis without nasal polyp was better than that of the patients with chronic rhinosinusitis with nasal polyp,the difference was statistically significant (x2 =10.932,P ＜ 0.01).After many factors Logistic regression analysis,the most important effect factor in the clinical curative effect were clinical type,AR or not,VAS score,nasal endoscopic examination score,CT examination score,multiple nasal polyp or not,postoperative nasal adhesion or not and postoperative follow-up compliance.Conclusion The clinical effective of endoscopic sinus surgery is influenced by not only surgery itself,but also by clinical classification,whether and not with AR and so on.
