鼻窦球囊扩张术治疗儿童慢性鼻窦炎的临床观察

Effect of sinus balloon catheter dilation on management of pediatric chronic rhinosinusitis

目的观察鼻窦球囊导管扩张术(sinus balloon catheter dilation,SBCD)在儿童慢性鼻窦炎治疗中的疗效。方法随机将27例儿童慢性鼻窦炎患者分成两组:A组(13例)应用SBCD实施上颌窦口及额窦口扩张;B组(13例)使用鼻喷糖皮质激素等药物治疗。两组患者采用鼻窦炎疾病特异性量表(SNOT20)及视觉模拟量表(VAS)评估治疗后的疗效。结果所有患者治疗后3、6个月复查,两组患者SNOT20积分及VAS症状平均积分均显著低于术前的积分(P<0.05),且A组SNOT20积分及VAS症状平均积分均显著低于B组(P<0.05)。治疗6个月后,A组的总体改善率达92.3%,显著高于B组(P<0.05)。结论鼻窦球囊导管扩张术是治疗儿童鼻窦炎的一种微创和有效措施,长期疗效有待于进一步观察。

Objective To observe the effect and safety of sinus balloon catheter dilation （SBCD） on management of chronic rhinosinusitis （ CRS ） in children. Methods 27 children with CRS were randomized into two groups： SBCD was carried out in 13 cases （SBCD group ） , and 14 cases received medication （control group ）. The effect was assessed by disease-specific questionnaire （20-items sino-nasal outcome test, SNOT-20 ） and visual analogue score （ VAS ） . Results 3 and 6 months after treatment, the scores of SNOT-20 and VAS were siguificantly decreased compared with baseline in both groups （ P 〈 O. 05 ） , and the sco^es of SBCD group were significantly lower than those of the control group （ P 〈 0.05 ）. 6 months after treatment, the overall effective rate of SBCD group was 92.3 % , which was significantly higher than that of the control group （ P 〈 0. 05 ）. Conclusion SBCD is an effective and minimally invasive method for pediatric CRS.