对比传统鼻镜手术与影像导航下鼻镜手术对鼻窦骨瘤患者疗效及预后影响的差异

Comparison of the effects and prognostic differences of traditional nasal endoscopic operation and image navigation under nasal endoscopic operation on patients with sinus osteoma

目的探讨传统鼻镜手术与影像导航下鼻镜手术对鼻窦骨瘤患者疗效及预后影响的差异。方法选取59例鼻窦骨瘤患者为研究对象，根据其入院就诊次序分成影像导航组（A组，n=30）和传统手术组（B组，n=29）。A组予以传统鼻镜手术方案，B组在影像导航下行鼻镜手术。比对两组患者术程、术中出血量、总住院时间等治疗指标的差异，行为期2年的随访，记录其复发及并发症发生情况。结果①两组患者术中出血量及术后住院时间等指标比较差异未见统计学意义（P〉0．05）；A组手术时间为（81．5±7．0）min，长于B组[（61．9±6．2）min]，差异有统计学意义（P〈0．05）；②在为期2年的随访中，A组无复发病例，B组额窦复发2例，筛窦复发4例，复发率为20．7％，两组比较差异有统计学意义（P〈0．05）；A组术后相关并发症发生率为10．0％，与B组的41．4％比较差异有统计学意义（P〈0．05）。结论对鼻窦骨瘤患者予以影像导航下鼻镜手术疗效确切，值得临床推广。

Objective To investigate the effect and prognostic differences of traditional nasal endoscopic operation and image navigation under nasal endoscopic operation on patients with sinus osteoma. Methods Fifty-nine cases with nasal sinus osteoma patients as the research object, according to the hospital admission sequence were divided into image navigation group（ group A, n = 30） and conventional operation group（ group B, n = 29 ）. Group A was treated by traditional nasal endoscopic operation scheme, group B was treated by nasal endoscopic operation image navigation. The differences of bleeding volume at preoperative, intraoperative, the length of hospital stay and other indexed of patients in two groups were compared, followed-up for 2 years, recorded its recurrence and complications. Results ① The difference of amount of bleeding at intraoperative and hospital time after surgery and other indicators of two groups had no significant difference （P〉0.05） ; average operation of group A was（81.5±7.0） min, which was longer than that of group B [（61.9 ± 6. 2） mini, the difference was significant （P 〈 0. 05 ）;② Followed-up in the period of 2 years, group A had no recurrence, in group B ： 2 cases of recurrence of frontal sinus, 4 cases of recurrence of ethmoid sinus, the recurrence rate was 20. 7%, the difference was significant between the two groups （P 〈 0. 05 ） ; complications occurrence rate in group A was 10%, compared to group B with 41.4%, the difference was significant （ P 〈 0.05 ）. Conclusions The effect of image navigation nasal endoscopic operation on patients with sinus osteoma is accurate, is worth the clinical promotion.