鼻内镜下低温等离子刀切除术对鼻窦肿瘤患者术后黏膜恢复的效果

Effect of low-temperature plasma radiofrequency surgery under nasal endoscopy on patients' mucosal recovery after endoscopic sinus neoplasms surgery

目的:分析鼻内镜下低温等离子刀切除术在鼻窦肿瘤术后患者黏膜恢复的效果。方法:选取2 0 1 5年6月至2016年5月在本科室住院治疗的鼻窦肿瘤患者60例,按随机数表法分为观察组和对照组,观察并比较鼻内镜下低温等离子刀切除术在鼻窦肿瘤术后患者黏膜恢复的效果。结果:观察组的手术时间、术中出血量、住院时间以及并发症发生率均显著低于对照组,差异具有统计学意义(P<0.05);观察组患者的黏膜形态Ⅰ级、Ⅱ级、Ⅲ级、Ⅳ级例数以及黏膜上皮化时间均显著低于对照组,差异具有统计学意义(P<0.05)。结论:鼻内镜下低温等离子刀切除术在鼻窦肿瘤术后患者黏膜恢复的效果好,鼻腔黏膜上皮化时间短,能有效避免术后并发症发生,具有显著的临床效果,值得推广应用。

Objective： To analyze the effect of endoscopic sinus neoplasms surgery on patients with mucosal recovery after nasal endoscopy combined with low-temperature plasma radiofrequency surgery. Methods： We selected 60 patients with sinus neoplasms from June 2015 to May 2016 in the hospitalized patients of our department, and divided them into an observation group and a control group according to random number table method. The effect of patients＇ mucosal recovery with endoscopic sinus neoplasms surgery after low-temperature plasma radiofrequency surgery was observed and compared. Results： The operative time, blood loss, hospitalization time, and complication rate in the observation group were significantly lower than those in the control group, the difference was statistically significant （P〈0.05）; number of grade I, grade II and grade III and IV and the time mucosalepithelium in the observation group were significantly lower than those in the control group, the difference was statistically significant （P〈0.05）. Conclusion： Endoscopic low-temperature plasma knife resection operation has well effect on mucosal recovery after endoscopic sinus neoplasms surgery, the shorter epithelization time of nasal mucosa can effectively prevent the incidence of postoperative complications. It is worthy of popularization and application which has significant clinical effect.