小钻孔鼻内双入路内镜下额窦开放术治疗慢性额窦炎患者的效果

Effect of small hole nasal double approach endoscopic frontal sinus surgery on the treatment of patients with chronic frontal sinusitis

目的探讨慢性额窦炎患者在小钻孔鼻内双入路内镜下进行额窦开放术的效果。方法选择100例(178侧)慢性额窦炎患者,分为试验组50例(93侧),在小钻孔鼻内双入路内镜下行额窦开放术;对照组50例(85侧),采取常规鼻内镜进行额窦开放术。比较2组术后VAS、术后6个月Lund-Mackay评分和额窦口直径、SNOT-20。结果试验组VAS评分6~10分的患者比例为42.0%,显著低于对照组的52.0%(P<0.05);对照组Lund-Mackay评分总分显著高于研究组(P<0.05)。2组额窦口闭锁率无显著差异(P>0.05)。结论在钻孔鼻内双入路内镜下对慢性额窦炎患者进行额窦开放术,可减轻患者术后疼痛,提高患者生活质量。

Objective To explore the effect of small hole nasal double approach endoscopic frontal sinus surgery on the treatment of patients with chronic frontal sinusitis. Methods A total of 100 patients with chronic frontal sinusitis （178 sides ） were selected and divided into experimental group （n = 50, 93 sides） treated by small hole nasal double approach endoscopic frontal sinus surgery and control group （n = 50, 85 sides） treated by the opening surgery for frontal sinus. Postoperative VAS, Lund-Mackay score and frontal sinus diameter, SNOT-20 after six months after surgery were compared between two groups. Results The proportion of patients with VAS score 6 to 10 in the ex- perimental group was 42%, which was significantly lower than 52% in the control group （P 〈 0.05）. The Lund-Mackay score of the control group was significantly higher than the study group （ P 〈 0.05 ）. There was no significant difference in frontal sinus atresia rate between two groups （P 〉 O. 05）. Conclusion small hole nasal double approach endoscopic frontal sinus surgery can reduce postoperative pain and improve the quality of life of patients.