功能性内镜鼻窦手术治疗慢性鼻-鼻窦炎的疗效观察

Clinical Effects for The Patients with Chronic Rhinosinusitis by Functional Endoscopic Sinus Surgery

目的:探讨功能性内镜鼻窦手术治疗慢性鼻-鼻窦炎(CRS)的疗效。方法:将2012年7月至2015年4月来广东省人民医院南海医院接受治疗的88例CRS患者纳入本研究。按照入院顺序抽签后随机分为观察组和对照组,对照组:药物治疗,观察组:在对照组治疗的基础上,用功能性内镜鼻窦手术(FESS)治疗。观察治疗效果。结果:观察组治疗后鼻塞、鼻漏、头痛、嗅觉减退评分低于治疗前和对照组,差异具有统计学意义(P<0.05);对照组治疗后鼻塞、鼻漏、头痛、嗅觉减退评分低于治疗前,差异具有统计学意义(P<0.05)。观察组治疗后鼻内镜、计算机断层扫描(CT)评分低于治疗前和对照组,差异具有统计学意义(P<0.05);对照组治疗后鼻内镜、CT评分低于治疗前,差异具有统计学意义(P<0.05)。观察组治疗总有效率为97.73%,高于对照组的77.27%,差异具有统计学意义(P<0.05)。结论:FESS治疗CRS效果较好,患者鼻塞、鼻漏、头痛、嗅觉减退改善较好,鼻内镜、CT评分低。

Objective To explore the clinical effects for the patients with chronic rhinosinusitis by functional endoscopic sinus surgery. Methods 88 cases of patients from July 2012 to April 2015 in Nanhai Hospital with CRS were randomly divided into experiment group and control group. the control group were treated by drug treatment, the experiment group were treated by drug treatment＋FESS. The clinical effects were observed. Results The scores of nasal congestion,running nose, headache, hyposmia for the experiment group after treatment were lower than before treatment and the control group（P〈0.05）; The scores of nasal congestion, running nose, headache, hyposmia for the control group after treatment were lower than before treatment（P 0.05）; The scores of endoscopic, CT for the experiment group after treatment were lower than before treatment and the control group（P 0.05）; The scores of endoscopic, CT for the control group after treatment were lower than before treatment（P 0.05）; The total effective rate for the experiment group were higher than the control group（P 0.05）. Conclusion It has good clinical effects for the patients with chronic rhinosinusitis by functional endoscopic sinus surgery, it can improve the nasal congestion, running nose, headache, hyposmia, reduce the scores of endoscopic, CT, it has high values of clinical application.