中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
35期
25-26,28
,共3页
慢性鼻窦炎%鼻内镜手术%疗效%老年人
慢性鼻竇炎%鼻內鏡手術%療效%老年人
만성비두염%비내경수술%료효%노년인
Chronic sinusitis%Endoscopic operation%Curative effect%Elderly people
目的：探讨鼻内镜手术治疗老年人慢性鼻窦炎的安全性与临床疗效，并分析其与临床分型的关系。方法：2009年1月-2011年12月收治鼻内镜手术治疗＞60岁慢性鼻窦炎老年患者76例，根据慢性鼻窦炎鼻息肉分型分期标准：Ⅰ型22例，Ⅱ型40例，Ⅲ型14例。常规术前用药，行鼻内镜手术，术后定期随访观察疗效。结果：Ⅰ型治愈率100%，Ⅱ型治愈率87.5%，Ⅲ型治愈率64.3%，总治愈率86.8%(66/76)。Ⅰ～Ⅲ型疗效呈递减趋势，差异具有统计学意义(P＜0.05)。76例患者的手术均顺利完成，术后出血量属正常，对原发老年病患者未见诱发现象，未见严重手术并发症。结论：鼻内镜鼻窦手术是治疗老年人慢性鼻窦炎的有效方法，其疗效与临床分型有密切关系。
目的：探討鼻內鏡手術治療老年人慢性鼻竇炎的安全性與臨床療效，併分析其與臨床分型的關繫。方法：2009年1月-2011年12月收治鼻內鏡手術治療＞60歲慢性鼻竇炎老年患者76例，根據慢性鼻竇炎鼻息肉分型分期標準：Ⅰ型22例，Ⅱ型40例，Ⅲ型14例。常規術前用藥，行鼻內鏡手術，術後定期隨訪觀察療效。結果：Ⅰ型治愈率100%，Ⅱ型治愈率87.5%，Ⅲ型治愈率64.3%，總治愈率86.8%(66/76)。Ⅰ～Ⅲ型療效呈遞減趨勢，差異具有統計學意義(P＜0.05)。76例患者的手術均順利完成，術後齣血量屬正常，對原髮老年病患者未見誘髮現象，未見嚴重手術併髮癥。結論：鼻內鏡鼻竇手術是治療老年人慢性鼻竇炎的有效方法，其療效與臨床分型有密切關繫。
목적：탐토비내경수술치료노년인만성비두염적안전성여림상료효，병분석기여림상분형적관계。방법：2009년1월-2011년12월수치비내경수술치료＞60세만성비두염노년환자76례，근거만성비두염비식육분형분기표준：Ⅰ형22례，Ⅱ형40례，Ⅲ형14례。상규술전용약，행비내경수술，술후정기수방관찰료효。결과：Ⅰ형치유솔100%，Ⅱ형치유솔87.5%，Ⅲ형치유솔64.3%，총치유솔86.8%(66/76)。Ⅰ～Ⅲ형료효정체감추세，차이구유통계학의의(P＜0.05)。76례환자적수술균순리완성，술후출혈량속정상，대원발노년병환자미견유발현상，미견엄중수술병발증。결론：비내경비두수술시치료노년인만성비두염적유효방법，기료효여림상분형유밀절관계。
Objective:To investigate the clinical efficacy and safety of nasal endoscopic operation in the treatment of elderly patients with chronic sinusitis,and to analyze its relationship with the clinical classification.Methods:76 elderly patients with chronic sinusitis were selected from January 2009 to December 2011.All of those patients were over 60 years old,and they were treated with nasal endoscopic operation.Based on the classification criteria of chronic sinusitis and nasal polyp:22 cases were typeⅠ;40 cases were typeⅡ;14 cases were typeⅢ.All the patients were given routine preoperative medication,and then treated with nasal endoscopic operation,moreover,all of the patients were followed-up regularly after operation,in order to observe the curative effect.Results:According to the Haikou criteria for evaluation of curative effect,among those 76 elderly patients with sinusitis,the cure rate of typeⅠwas 100%;the cure rate of typeⅡwas 87.5%;the cure rate of typeⅢwas 64.3%;the total cure rate was 86.8%(66/76). The curative effect ofⅠ~Ⅲtypes showed a trend of decline,and the difference was statistically significant(P<0.05). Surgery of 76 cases were successfully completed.The amount of bleeding after operation was normal,and there was no induced phenomena of primary senile disease,also without serious complications.Conclusion:the endoscopic sinus surgery is an effective method in the treatment of elderly patients with chronic sinusitis,and it is a close relationship between clinical efficacy and clinical typing.
