中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
12期
69-70
,共2页
难治性鼻息肉鼻窦炎%内镜手术%中鼻甲切除术
難治性鼻息肉鼻竇炎%內鏡手術%中鼻甲切除術
난치성비식육비두염%내경수술%중비갑절제술
Refractory sinusitis nasal polyps%Endoscopic operation%Middle turbinectomy
目的：探讨内镜下切除中鼻甲手术治疗难治性鼻息肉鼻窦炎的临床疗效。方法收集2013年1月-2014年12月，该院收治的难治性鼻息肉鼻窦炎患者76例，随机分为观察组与对照组，各38例。观察组行内窥镜下鼻窦开放手术并完全切除双鼻中鼻甲，对照组行内窥镜下鼻窦开放手术但不切除双鼻中鼻甲，比较两组的临床疗效及复发率。结果观察组的治疗总有效率为94.74%，显著高于对照组的81.58%(P<0.05)；观察组术后6、12个月复发率分别为5.26%、10.53%，均显著低于对照组的18.42%、26.32%(P<0.05)；观察组的反射性头痛发生率显著高于对照组(P<0.05)。结论内镜下切除中鼻甲手术治疗难治性鼻息肉鼻窦炎疗效显著，术后近远期复发率较低，但存在反射性头痛等并发症，需严格选择病例和掌握手术技术。
目的：探討內鏡下切除中鼻甲手術治療難治性鼻息肉鼻竇炎的臨床療效。方法收集2013年1月-2014年12月，該院收治的難治性鼻息肉鼻竇炎患者76例，隨機分為觀察組與對照組，各38例。觀察組行內窺鏡下鼻竇開放手術併完全切除雙鼻中鼻甲，對照組行內窺鏡下鼻竇開放手術但不切除雙鼻中鼻甲，比較兩組的臨床療效及複髮率。結果觀察組的治療總有效率為94.74%，顯著高于對照組的81.58%(P<0.05)；觀察組術後6、12箇月複髮率分彆為5.26%、10.53%，均顯著低于對照組的18.42%、26.32%(P<0.05)；觀察組的反射性頭痛髮生率顯著高于對照組(P<0.05)。結論內鏡下切除中鼻甲手術治療難治性鼻息肉鼻竇炎療效顯著，術後近遠期複髮率較低，但存在反射性頭痛等併髮癥，需嚴格選擇病例和掌握手術技術。
목적：탐토내경하절제중비갑수술치료난치성비식육비두염적림상료효。방법수집2013년1월-2014년12월，해원수치적난치성비식육비두염환자76례，수궤분위관찰조여대조조，각38례。관찰조행내규경하비두개방수술병완전절제쌍비중비갑，대조조행내규경하비두개방수술단불절제쌍비중비갑，비교량조적림상료효급복발솔。결과관찰조적치료총유효솔위94.74%，현저고우대조조적81.58%(P<0.05)；관찰조술후6、12개월복발솔분별위5.26%、10.53%，균현저저우대조조적18.42%、26.32%(P<0.05)；관찰조적반사성두통발생솔현저고우대조조(P<0.05)。결론내경하절제중비갑수술치료난치성비식육비두염료효현저，술후근원기복발솔교저，단존재반사성두통등병발증，수엄격선택병례화장악수술기술。
Objective To investigate the clinical efficacy of endoscopic resection of middle turbinate surgery in treatment of refrac-tory nasal polyps sinusitis. Methods 76 patients with refractory sinusitis and nasal polyps in our hospital from January 2013 to De-cember 2014 were randomly divided into observation group and control group, each of 38 cases. The observation group underwent endoscopic sinus endoscopic operation open and completely removed the double nasal turbinate, the control group underwent en-doscopic sinus endoscopic operation open but not double nasal turbinate resection, clinical effect and recurrence rate were com-pared between the two groups. Results The treatment the total effective rate of observation group was 94.74%, significantly higher than that in control group 81.58% (P<0.05); observation group recurrence rates after 6 months, 12 months were 5.26%, 10.53%, significantly lower than the control group 18.42%, 26.32%(P<0.05); the reflective headache rate of observation group significantly higher than the control group (P<0.05). Conclusion Endoscopic resection of turbinate operation in the treatment of refractory nasal polyps sinusitis curative effect remarkable, postoperative recurrence rate is low, but the existence of reflex headache and other complications, need strict case selection and grasp the operation technology.
