鼻内镜下副鼻窦开放联合中鼻甲外侧壁切除治疗慢性鼻窦炎的疗效观察

Efficacy of Endoscopic Sinusitis Open Combined with Turbinate Sidewall Resection in Treatment of Chronic Sinusitis

目的观察鼻内镜下副鼻窦开放联合中鼻甲外侧壁切除治疗慢性鼻窦炎的疗效及其对症状评分和生活质量评分的影响。方法选择2011年1月至2014年12月在我院就诊的慢性鼻窦炎的患者96例,根据手术方式不同分为观察组和对照组,每组均为48例,对照组予以传统手术治疗,观察组予以副鼻窦开放和中鼻甲外侧壁切除术。观察两组治疗后的疗效,治疗前后的症状评分,SNOT-20,5大问题和Lanza-Kennedy评分的比较。结果观察组的总有效率为95.83%明显优于对照组的79.17%,差异有统计学意义(χ2=4.667,P<0.05)。两组的鼻塞、鼻漏,嗅觉障碍,头部疼痛评分,SNOT-20,5大问题和Lanza-Kennedy评分治疗前差异无统计学意义(P>0.05),治疗后两组的症状评分和生活质量评分均较治疗前明显降低(P<0.01),而观察组的降低水平更为明显(P<0.01)。结论鼻内镜下副鼻窦开放联合中鼻甲外侧壁切除治疗慢性鼻窦炎的疗效确切,能够明显改善症状和改善术后的生活质量。

Objective To observe the efficacy of endoscopic sinusitis open combined with turbinate sidewall resection in treatment of sinusitis and their impact on the scores of symptom and quality of life. Methods 96 patients with chronic sinusitis, from January 2011 to December 2014, were divided into observation group and control group according to the surgical procedure, each goup had 48 cases, control group were gave traditional surgery, the observation group were performed with open sinusitis surgery and turbinate sidewall resection. Efficacy after treatment were observed in each group, and the symptom scores, SNOT-20, 5 big problems and Lanza-Kennedy score were also observed before and after treatment. Results The total effective rate was 95.83% in observation group significantly better than 79.17% in the control group, the difference was statistically significant（χ2=4.667, P〈0.05）. The scores of nasal congestion, rhinorrhea, olfactory dysfunction, head pain, SNOT-20,5 big problem and Lanza-Kennedy before treatment were no significant differences between two groups（P〉0.05）, after treatment the scores of symptom and life quality significantly in two groups lower than those before treatment（P〈0.01）, while the lower levels in observation group were more significant than those in control group（P〈0.01）. Conclusions Efficacy of endoscopic sinusitis open combined with turbinate sidewall resection in treatment of sinusitis are obvious, they can significantly improve symptoms and quality of life after surgery.