鼻内镜鼻窦手术对鼻窦炎鼻息肉患者嗅觉功能及鼻腔容积的影响

Effect of endoscopic sinus surgery on airway resistance and olfactory function in patients with sinusitis and nasal polyps

目的研究鼻内镜鼻窦手术对鼻窦炎鼻息肉患者气道阻力及鼻腔容积的影响。方法选择2012年4月至2015年3月收治的85例鼻窦炎伴鼻息肉患者为研究对象,随机分为观察组45例和对照组40例,观察组接受鼻内镜手术,对照组接受常规手术。比较两组患者的气道阻力、嗅觉功能、鼻腔容积与鼻腔最小横截面积。结果术后1、4、8、12周时,观察组鼻气道阻力明显低于对照组(P均<0.05),同时观察组嗅觉功能明显低于对照组(P<0.05);术后8、12周时,观察组鼻腔容积(NCV)、鼻腔最小横截面面积(NM CA)均明显高于对照组(P<0.05)。结论鼻内镜鼻窦手术有助于增大鼻腔容积与鼻腔最小横截面面积,降低气道阻力,改善嗅觉功能。

Objective To study the effect of endoscopic sinus surgery on airway resistance and olfactory function in pa- tients with sinusitis and nasal polyps. Methods Ninety patients with sinusitis and nasal polyps in our hospital from April 2012 to March 2015 were randomly divided into the observation group and the control group. The observation group re- ceived endoscopic sinus surgery, while the control group received conventional surgery. Then airway resistance, olfactory function, nasal cavity volume （NCV）, nasal minimum cross-sectional area （NMCA） were compared between the two groups. Results 1,4, 8 and 12 weeks after the surgery, the nasal airway resistance were significantly lower in the obser- vation group than in the control group（ P 〈0.05 ） and the olfactory function scores were significantly lower in the observa- tion group than in the control group（P 〈0.05） ; 8 weeks and 12 weeks after the surgery, NCV and NMCA were signifi- cantly higher in the observation group than in the control group（ P 〈 0.05 ）. Conclusion Nasal endoscopic sinus surgery can help to increase NCV and NMCA, reduce airway resistance and improve the sense of smell functions.