CAJ | 학술논문

目的：：探讨鼻内筛窦切除联合鼻息肉摘除治疗鼻息肉患者的临床疗效。方法：选择74例鼻息肉患者，按照治疗适应证和家属意见分为观察组和对照组；对照组患者34例，采用鼻息肉摘除术治疗，观察组患者40例，在对照组患者治疗的基础上同时行鼻内筛窦切除术，比较两组患者的临床疗效、术后并发症及复发情况。结果：观察组患者的治疗总有效率明显优于对照组(P<0.05)；观察组患者术后并发症发生率与对照组比较差异无显著性(P>0.05)；术后随访1年，观察组复发率显著低于对照组(P<0.05)。结论：鼻内筛窦切除联合鼻息肉摘除治疗鼻息肉患者的疗效优于单纯鼻息肉摘除疗效。
목적：：탐토비내사두절제연합비식육적제치료비식육환자적림상료효。방법：선택74례비식육환자，안조치료괄응증화가속의견분위관찰조화대조조；대조조환자34례，채용비식육적제술치료，관찰조환자40례，재대조조환자치료적기출상동시행비내사두절제술，비교량조환자적림상료효、술후병발증급복발정황。결과：관찰조환자적치료총유효솔명현우우대조조(P<0.05)；관찰조환자술후병발증발생솔여대조조비교차이무현저성(P>0.05)；술후수방1년，관찰조복발솔현저저우대조조(P<0.05)。결론：비내사두절제연합비식육적제치료비식육환자적료효우우단순비식육적제료효。
Objective:To evaluate clinical effects of intranasal ethmoidectomy combined with nasal polypectomy in treatment of nasal polyps. Methods:According to the treatment indications and families advices, 74 patients with nasal polypectomy were divided into observation group and control group. 34 patients of control group were treated with nasal polypectomy and 40 patients of observation group were treated with intranasal ethmoidectomy combined with nasal polypectomy. The clinical effects, postoperative complications and recurrence of the two groups were compared. Results:The total effective rate of observation group was better than that of control group, and the difference was statistically significant (P<0. 05). There were no significant differences of postoperative complication rates between the two groups (P>0. 05). Followed up one year, the recurrence rate of observation group was significantly lower than that of control group, and the difference was statistically significant (P<0. 05). Conclusions:Intranasal ethmoidectomy combined with nasal polypectomy in the treatment of nasal polyps has better clinical results than single nasal polypectomy.