CAJ | 학술논문

目的探讨鼻内镜治疗老年人慢性鼻窦炎、鼻息肉的临床疗效.方法选择2010年6月至2014年6月我院收治的老年慢性鼻窦炎、鼻息肉患者132例,均行鼻内镜下手术治疗,观察临床治疗效果.结果 132例患者中,治愈92例(69.7％),显效33例(25.0％),无效7例(5.3％),总有效率为94.7％;治疗总有效率Ⅰ型为100.0％,Ⅱ型为97.4％,Ⅲ型为84.8％;Ⅰ型和Ⅱ型治疗总有效率明显高于Ⅲ型总有效率84.8％,差异有统计学意义(x2=3.506,P=0.035;x2=6.218,P=0.012).发生局部并发症10例(7.6％),其中鼻腔粘连5例,眼眶内血肿2例,鼻泪管损伤、术腔少量出血和窦口闭锁各1例.结论鼻内镜治疗老年慢性鼻窦炎、鼻息肉临床治疗效果好,特别是用于治疗Ⅰ型和Ⅱ型老年人慢性鼻窦炎、鼻息肉临床疗效更佳,术后并发症少,值得临床推荐应用.
목적 탐토비내경치료노년인만성비두염、비식육적림상료효.방법 선택2010년6월지2014년6월아원수치적노년만성비두염、비식육환자132례,균행비내경하수술치료,관찰림상치료효과.결과 132례환자중,치유92례(69.7％),현효33례(25.0％),무효7례(5.3％),총유효솔위94.7％;치료총유효솔Ⅰ형위100.0％,Ⅱ형위97.4％,Ⅲ형위84.8％;Ⅰ형화Ⅱ형치료총유효솔명현고우Ⅲ형총유효솔84.8％,차이유통계학의의(x2=3.506,P=0.035;x2=6.218,P=0.012).발생국부병발증10례(7.6％),기중비강점련5례,안광내혈종2례,비루관손상、술강소량출혈화두구폐쇄각1례.결론 비내경치료노년만성비두염、비식육림상치료효과호,특별시용우치료Ⅰ형화Ⅱ형노년인만성비두염、비식육림상료효경가,술후병발증소,치득림상추천응용.
Objective To investigate the therapeutic effect of nasal endoscope surgery on chronic sinusitis and nasal polyps in geriatric patients.Methods A total of 132 geriatric patients with chronic sinusitis and nasalpolyps underwent nasal endoscope surgery in our hospital from Jun.2010 to Jun.2014,and the therapeutic effect was investigated.Results In the 132 cases,92 cases were cured (69.7％).Therapeutic effects were excellent in 33 cases (25.0％),and invalid in 7 cases (5.3％).The total effective rate was 94.7％.The total effective rate was 100.0％ in type Ⅰ,97.4％ in type Ⅱ and 84.8％ in type Ⅲ.The total effective rate was higher in type Ⅰ and Ⅱ than in type Ⅲ (x2=3.506 and 6.218,P=0.035 and 0.012).Local complications occurred in 10 cases (7.6％),including 1 case with nasolacrimal duct injury,2 cases with orbital hematoma,5 cases with nasal adhesion,1 case with surgical cavity hemorrhage and 1 case with sinus atresia.Conclusions The therapeutic effects of nasal endoscopesurgery on chronic sinusitis and nasalpolyps are good in geriatric patients,especially in treating chronic sinusitis and nasalpolyps of type Ⅰ and Ⅱ,and the postoperative complications are less,which is worth clinical application.