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鼻内镜手术治疗慢性鼻窦炎的临床疗效及其与临床分型的关系 被引量:5

Clinical efficacy of endoscopic sinus surgery for chronic sinusitis and its relationship with clinical classification
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摘要 目的对慢性鼻窦炎患者实施鼻内镜术治疗的效果进行分析,并探讨其临床分型和手术效果的关系。方法对2014年8月~2015年8月在院接受鼻内镜术治疗的103例慢性鼻窦炎患者的临床资料进行回顾分析,对比分析不同分型的临床效果和随访复发率。结果本组103例患者中,治愈75例(72.8%),好转21例(20.4%),无效7例(6.8%);按照临床分型,Ⅰ型和Ⅱ型总有效率差异无统计学意义(P>0.05),但均高于Ⅲ型,差异有统计学意义(P<0.05);Ⅰ型治愈率均高于Ⅱ型、Ⅲ型(P<0.05);随访6~12个月,Ⅰ型、Ⅱ型无复发,Ⅲ型有4例复发,差异具有统计学意义(P<0.05)。结论慢性鼻窦炎患者采取鼻内镜手术效果良好,复发率较低,但和临床分型存在密切关系,所以要结合患者实际情况进行手术。 Objective To investigate the effect of endoscopic sinus surgery in patients with chronic sinusitis,and the relationship between clinical analysis and surgical results was discussed. Methods The clinical data of 103 patients with chronic sinusitis treated in our hospital from August 2014 to August 2015 were retrospectively analyzed, comparative analysis of clinical effects of different types and follow-up recurrence rate. Results In this group of 103 patients, cured in 73 cases, improved in 26 cases, ineffective in 4 cases; According to clinical classification, the total effective rate of type Ⅰ and type Ⅱ had no difference(P 〉0.05), but both of the two types’ total effective rate was higher than that of type Ⅲ (P 〈0.05); The cure rate of type Ⅰ was higher than those of type Ⅱ and type Ⅲ (P 〈0.05); Followed up 6 ~12 months, the patients of type I, type Ⅱ had no recurrence, 3 cases of recurrence happened to type Ⅲ (P 〈0.05). Conclusion Nasal endoscopic surgery in patients with chronic sinusitis could get good results with low recurrence rate, and it is a close relationship with clinical classification.
出处 《中国处方药》 2017年第7期1-2,共2页 Journal of China Prescription Drug
关键词 鼻内镜手术 慢性鼻窦炎 临床分型 Endoscopic sinus surgery Chronic sinusitis Clinical classification
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