影响慢性鼻窦炎鼻息肉患者内镜术后嗅觉改善的因素

Factors that affect the improvement of olfactory function after endoscopic sinus surgery in patients suffering from chronic sinusitis and/or nasal polyps

目的 :探讨影响慢性鼻窦炎鼻息肉患者内镜术后嗅觉改善的有关因素。方法 :4 4例伴有嗅觉障碍的慢性鼻窦炎鼻息肉患者在内镜手术后半年 ,对其性别、分型分期、病变部位、过敏因素、嗅觉障碍时间、随访等因素进行logistic回归分析。 结果 :分型分期 (病变严重程度 )、过敏、随访等 3个因素对内镜术后嗅觉能否改善有显著影响 (P <0 .0 5 ) ;而性别、病变部位和嗅觉障碍时间则无明显影响 (P >0 .0 5 )。结论 :为了使慢性鼻窦炎鼻息肉患者术后嗅觉功能尽可能地恢复 ,在内镜手术彻底清除病变的基础上 。

Objective:To investigate the factors related to the improvement of olfaction after endoscopic sinus surgery (ESS) in chronic sinusitis and/or nasal polyps'patients.Method:Fourteen patients suffering from chronic sinusitis and/or nasal polyps were accompanied with olfactory dysfunction. At 6 months after the ESS, measurement of olfaction showed that 27 patients' olfaction had improved. The effective rate is 61.36 %. Using a logistic regression model, we analyzed the factors such as gender, disease stage, disease site, allergy, duration of olfactory dysfunction and follow up.Result:Contrary to gender, disease site and duration of olfactory dysfunction, disease stage, allergy and follow up had a significant effect on the improvement of olfaction.Conclusion:In order to improve the olfaction of the patients with chronic sinusitis and/or nasal polyps, it is important to treat positively with allergic rhinitis on a basis of the ESS. Follow up should be emphasized further.