鼻内镜下治疗鼻窦炎合并鼻息肉的临床疗效研究

Clinical curative effect of endoscopic sinus surgery in the treatment of patients with rhinosinusitis accompanying rhinopolypus

目的探讨分析内镜治疗鼻窦炎合并鼻息肉的临床疗效。方法将120例鼻窦炎合并鼻息肉患者分为实验组和对照组,两组均为60例,其中实验组患者接受鼻内镜下术式,对照组接受传统术式,并对比分析两组术后疗效和嗅觉的改变。结果实验组手术总有效率为93.3%,显著高于对照组的73.3%(P<0.05);实验组术后第4、8、12、16和20周末时的嗅觉检测评分均优于对照组(P<0.05);术后第24周末,实验组存在症状明显低于对照组(P<0.05)。结论鼻内镜下治疗鼻窦炎合并鼻息肉疗效明显优于传统术式,值得临床推广。

Objective To study the clinical curative effect and the influence on the olfactory function of endoscopic si- nus surgery in the treatment of patients with rhinosinusitis accompanying rhinopolypus. Methods The 120 patients with rhiosinusitis accompanying rhinopolypus were divided into the control group and the experimental group with 60 pa- tients in each group. The control group were treated with the traditional surgery while the experimental group were treated with the endoscopic surgery. The curative effect and the olfactory function after the surgery of the two groups were compared. Results The total effective rate of the exerimental group was 93.3% ,the total effective rate of control group was 73.3% （P〈0.05）. The olfactory function core 4,8,12,16,20 weeks after the surgery of the experimental group was better than that of the control group （P〈0.05）. 24 weeks after the surgery,the proportion of the patients with the clinical symptoms of the experimental group was less than that of the control group （P〈0.05）. Conclusion Endoscopic sinus surgery has significant effect in treatment of patients with rhinosinusitis accompanying rhinopolypus, and worthy of clinical application.