CAJ | 학술논문

目的：研究分析修正性鼻内镜手术并中鼻甲切除为主系统治疗难治性鼻息肉鼻窦炎的方法、效果、价值等。方法回顾分析2012年2月至2015年3月间收治的182例既往多次手术及药物治疗无效并经 CT 及鼻内镜检查确诊的难治性鼻息肉鼻窦炎患者，根据手术方法等不同，随机分为治疗组和对照组，每组各91例患者，两组患者在性别、年龄、病程、鼻部疾病类型、合并疾病、鼻腔情况、既往手术史等一般资料比较，差异无统计学意义（P＞0.05），治疗组修正性鼻内镜手术加中鼻甲切除、充分围手术期处理、规范随访等综合治疗，对照组常规手术方法治疗，术后随访6个月，比较两组的有效率、并发症及复发情况等指标。结果随访6个月后，治疗组总有效率为90.11%，对照组总有效率为72.53%，差异有统计学意义（P＜0.05）；治疗组在并发症发生率和复发率方面均低于对照组，差异有统计学意义（P＜0.05）。结论修正性鼻内镜手术并中鼻甲切除加上围手术期充分准备、规范随访等系统治疗难治性鼻息肉鼻窦炎效果较为满意，有一定的临床应用价值。
목적：연구분석수정성비내경수술병중비갑절제위주계통치료난치성비식육비두염적방법、효과、개치등。방법회고분석2012년2월지2015년3월간수치적182례기왕다차수술급약물치료무효병경 CT 급비내경검사학진적난치성비식육비두염환자，근거수술방법등불동，수궤분위치료조화대조조，매조각91례환자，량조환자재성별、년령、병정、비부질병류형、합병질병、비강정황、기왕수술사등일반자료비교，차이무통계학의의（P＞0.05），치료조수정성비내경수술가중비갑절제、충분위수술기처리、규범수방등종합치료，대조조상규수술방법치료，술후수방6개월，비교량조적유효솔、병발증급복발정황등지표。결과수방6개월후，치료조총유효솔위90.11%，대조조총유효솔위72.53%，차이유통계학의의（P＜0.05）；치료조재병발증발생솔화복발솔방면균저우대조조，차이유통계학의의（P＜0.05）。결론수정성비내경수술병중비갑절제가상위수술기충분준비、규범수방등계통치료난치성비식육비두염효과교위만의，유일정적림상응용개치。
Objective To investigate the correction method, endoscopic sinus operation with middle turbinate resection comprehensive treatment of refractory nasal polyps sinusitis effect, value etc. Methods Reviewed 182 cases of previous analysis of February 2012-March 2015 whose multiple operation and drug treatment is invalid and confirmed refractory nasal polyps sinusitis by CT and endoscopic examination, according to the operation method, it will be randomly divided into observation group and control group, each group had 91 patients, two groups in gender, age the course of disease, type of disease, nasal, complicating diseases, nasal cavity, operation history comparison of general data, had no significant difference (P>0.05), the observation group was performed with revision endoscopic sinus operation with middle turbinate resection, full operation period processing, standardized follow-up and other comprehensive treatment, the control group was conventional treatment of operation method, postoperatively followed-up 6 months, compared the efficiency in two groups, complications and recurrence and efficiency. Results After 6 months of follow-up, in the observation group the total effective rate was 90.11%, no efficiency was 9.89%, in control group the total effective rate was 72.53%,no efficiency was 27.47%, the difference was statistically significant (P<0.05);in the observation group the incidence of complications and the recurrence rate was lower than the control group, the difference was statistically significant (P<0.05). Conclusion Application of modified nasal endoscopic operation with middle turbinate resection of peri operation period, fully ready, standardized follow-up comprehensive treatment of refractory nasal polyps sinusitis is effective, is worthy of clinical application.