功能性鼻内镜手术治疗慢性鼻窦炎鼻息肉的临床效果观察

Clinical effect of functional endoscopic sinus surgery for chronic sinusitis and nasal polyps

目的:观察慢性鼻窦炎鼻息肉的患者给予功能性鼻内镜手术治疗后的临床效果。方法:将70例慢性鼻窦炎鼻息肉患者随机分为观察组与对照组各35例,对照组患者给予常规手术治疗,观察组患者则使用功能性鼻内镜手术,对比两组患者的临床效果。结果:观察组的患者临床总有效率(88.57%)、术中出血量(120.26±19.87)ml、平均住院时间(10.13±8.16)d、患者术后并发症发生率(8.57%)、术后复发率(2.86%)均明显优于对照组患者临床总有效率(62.86%)、术中出血量(219.38±10.23)ml、平均住院时间(14.09±6.34)d、患者术后并发症发生率(37.14%)、术后复发率(28.57%),差异均具有统计学意义(P<0.05)。结论:功能性鼻内镜手术有效提高了治愈率,降低了术中出血量,同时也减少了并发症的发生率。

Objective： To observe the clinical effect of functional endoscopic sinus surgery in patients with chronic sinusitis and nasal polyps. Methods： 70 patients with chronic sinusitis and nasal polyps were randomized into the observation group and control group,each group had a total of 35 patients. Patients in the control group were treated with conventional operation,while the patients in the observation group were treated with functional endoscopic sinus surgery. The clinical effects of the two groups were compared.Results： The respective detection indicators between the observation group and cotrol group were： total clinical efficiency（ 88. 57% vs 62. 86%）,bleeding（ 120. 26 ± 19. 87 vs 219. 38 ± 10. 23） ml,the average hospitalization time（10.13± 8. 16 vs 14. 09 ± 6. 34） d,the rate of postoperative complications（ 8. 57% vs37.14%）,and the recurrence rate（ 2. 86% vs 28. 57%）,and the differences were statistically significant（P〈0.05）. Conclusion： Functional endoscopic sinus surgery can effectively improve the curative rate,reduce the amount of bleeding during operation and the incidence of complications.