0度镜引导下改良鼻丘入路额窦开放术治疗额窦疾病临床疗效

Clinical effect of the improved frontal sinus surgery under the nose hill guided by0 degree mirror in the treatment of frontal sinus disease

目的:探讨0度镜引导下经改良鼻丘入路额窦开放术治疗额窦疾病的效果。方法:将110例额窦炎患者按照随机数字表法分为观察组和对照组,各55例,对照组患者接受常规入路额窦开放术,观察组患者接受0度镜引导下经改良鼻丘入路额窦开放术,比较2组患者的手术情况、应激反应、近期和远期疗效。结果:观察组患者的手术时间和术中出血量均明显少于对照组(P<0.01);术中肾上腺素、去甲肾上腺素、血管紧张素Ⅱ水平均明显低于对照组(P<0.01);观察组患者近期疗效优于对照组(P<0.05),复发率低于对照组(P<0.05),而生活质量评分明显高于对照组(P<0.01)。结论:0度镜引导下经改良鼻丘入路额窦开放术有助于减小手术创伤,促进术后恢复,缓解应激反应,提高疗效。

Objective： To investigate the clinical effects of the improved frontal sinus surgery under the nose hill guided by 0 degree mirror in the treatment of frontal sinus disease. Methods： One hundred and ten patients with frontal sinusitis were randomly divided into the observation group and control group（ 55 cases each group）. The observation group were treated with the improved frontal sinus surgery under the nose hill guided by 0 degree mirror,the control group were treated with the conventional frontal sinus surgery. The operation condition,stress response,and short-term and long-term effects in two groups were compared. Results： The operation time and bleeding volume in observation group were less than those in control group（ P〈0. 01）,the levels of epinephrine,norepinephrine and angiotensin Ⅱ in observation group were significantly lower than those in control group（ P〈0. 01）. The short-term treatment effects and recurrence rate in observation group were significantly better and less than those in control group,respectively（ P〈0. 05）. The score of life quality in observation group was significantly higher than that in control group（ P〈0. 01）. Conclusions： The improved frontal sinus surgery under the nose hill guided by 0 degree mirror can reduce operation wound,promote postoperative recovery,relieve stress response and improve treatment effect.