中国医学文摘-耳鼻咽喉科学
中國醫學文摘-耳鼻嚥喉科學
중국의학문적-이비인후과학
Chinese Medical Digest:Otolaryngology
2015年
3期
172-174
,共3页
吴春妍%王向阳%刘小波%莫志峰%李军
吳春妍%王嚮暘%劉小波%莫誌峰%李軍
오춘연%왕향양%류소파%막지봉%리군
慢性鼻窦炎%鼻息肉%鼻内镜%美敦力耳鼻喉科综合动力系统
慢性鼻竇炎%鼻息肉%鼻內鏡%美敦力耳鼻喉科綜閤動力繫統
만성비두염%비식육%비내경%미돈력이비후과종합동력계통
Chronic sinusitis%Nasal polyps%Endoscopy%Medtronic powered ENT system
目的研究经鼻内镜下美敦力耳鼻咽喉动力系统治疗慢性鼻窦炎鼻息肉的疗效及安全性。方法选择空军航空医学研究所附属医院门诊慢性鼻窦炎合并鼻息肉患者306例,采用鼻内镜下美敦力耳鼻喉科综合动力系统,观察手术效果、术后恢复情况,并与2009年前鼻内镜非美敦力系统手术的患者213例进行比较,采用SPSS18.0软件对两组患者治疗效果及手术相关指标的数据分析。结果观察组患者治疗总有效率显著高于对照组(98.69% vs 89.20%,P<0.05)出血量(ml)、黏膜恢复时间(d)、鼻腔通气时间(d)、NRS评分显著低于对照组[(12.3±2.8)ml vs(26.2±3.2)ml]、[(5.1±1.9) d vs(7.8±3.4)d]、[(2.6±0.6)d vs(6.8±1.0)d]、[(1.84±0.33)分vs(3.83±0.52)分](P<0.05);两组手术时间比较差异无统计学意义。结论经鼻内镜下美敦力耳鼻喉科综合动力系统能够有效提高治疗效果、减小手术创伤、促进术后恢复,具有积极的临床价值。
目的研究經鼻內鏡下美敦力耳鼻嚥喉動力繫統治療慢性鼻竇炎鼻息肉的療效及安全性。方法選擇空軍航空醫學研究所附屬醫院門診慢性鼻竇炎閤併鼻息肉患者306例,採用鼻內鏡下美敦力耳鼻喉科綜閤動力繫統,觀察手術效果、術後恢複情況,併與2009年前鼻內鏡非美敦力繫統手術的患者213例進行比較,採用SPSS18.0軟件對兩組患者治療效果及手術相關指標的數據分析。結果觀察組患者治療總有效率顯著高于對照組(98.69% vs 89.20%,P<0.05)齣血量(ml)、黏膜恢複時間(d)、鼻腔通氣時間(d)、NRS評分顯著低于對照組[(12.3±2.8)ml vs(26.2±3.2)ml]、[(5.1±1.9) d vs(7.8±3.4)d]、[(2.6±0.6)d vs(6.8±1.0)d]、[(1.84±0.33)分vs(3.83±0.52)分](P<0.05);兩組手術時間比較差異無統計學意義。結論經鼻內鏡下美敦力耳鼻喉科綜閤動力繫統能夠有效提高治療效果、減小手術創傷、促進術後恢複,具有積極的臨床價值。
목적연구경비내경하미돈력이비인후동력계통치료만성비두염비식육적료효급안전성。방법선택공군항공의학연구소부속의원문진만성비두염합병비식육환자306례,채용비내경하미돈력이비후과종합동력계통,관찰수술효과、술후회복정황,병여2009년전비내경비미돈력계통수술적환자213례진행비교,채용SPSS18.0연건대량조환자치료효과급수술상관지표적수거분석。결과관찰조환자치료총유효솔현저고우대조조(98.69% vs 89.20%,P<0.05)출혈량(ml)、점막회복시간(d)、비강통기시간(d)、NRS평분현저저우대조조[(12.3±2.8)ml vs(26.2±3.2)ml]、[(5.1±1.9) d vs(7.8±3.4)d]、[(2.6±0.6)d vs(6.8±1.0)d]、[(1.84±0.33)분vs(3.83±0.52)분](P<0.05);량조수술시간비교차이무통계학의의。결론경비내경하미돈력이비후과종합동력계통능구유효제고치료효과、감소수술창상、촉진술후회복,구유적겁적림상개치。
ObjectiveTo explore the effect and safety of nasal endoscopic Medtronic powered ENT system in treating chronic sinusitis and nasal polyps.MethodsA total of 306 cases of chronic rhinosinusitis with nasal polyps treated by nasal endoscopic Medtronic powered ENT system in Affiliated Hospital of Institute of Aviation Medicine were included in the study,and the operation effect and postoperative recovery were observed,and were compared with non-Medtronic system operation treated 213 cases of endoscopic sinus before 2009.SPSS18.0 software was used to analyzed the therapeutic effect and surgery related indexes of the two groups.ResultsThe total effective rate of the observation group was significantly higher than the control group (98.69% vs 89.20%,P<0.05);the bleeding(ml),mucosal recovery time(d),nasal ventilation time(d),NRS score were significantly lower than the control group[(12.3±2.8)ml vs(26.2±3.2)ml]、[(5.1±1.9)d vs(7.8±3.4)d]、[(2.6±0.6)d vs(6.8±1.0)d]、[(1.84±0.33)points vs(3.83±0.52)points];there was no significant difference in operation time between the two groups(P<0.05).ConclusionNasal endoscopic Medtronic powered ENT system can effectively improve the treatment effect,reduce surgical trauma and promote postoperative recovery,,and thus has positive clinical value.