改良鼻丘径路额窦鼻内镜修正手术在难治性鼻-鼻窦炎中的疗效探析

The curative effect of improved nasal endoscopic sinus mound path correction surgery for refractory rhinosinusitis

目的:研究改良鼻丘径路额窦鼻内镜修正手术在难治性鼻-鼻窦炎中的疗效,为难治性鼻-鼻窦炎患者提供明确的手术方案。方法:选择2013年6月至2015年6月接诊的120例难治性鼻-鼻窦炎患者为研究对象,按照随机数表法,随机均分为改良组和对照组。对照组60例患者应用自前向后将鼻窦开放手术治疗,改良组则采取改良鼻丘径路额窦鼻内镜修正手术方式实施手术。术后随访调查6个月,评估两组患者的治疗疗效、并发症及复发状况。结果:改良组手术的总有效率(95.00%)高于对照组(78.33%),差异有统计学意义(χ2=7.211 5,P=0.007 2)。改良组并发症发生率(6.67%)低于对照组(21.67%),且差异有显著性(χ2=5.551 1,P=0.0185);改良组患者的复发率(3.33%)低于对照组(13.33%),差异亦有显著性(χ2=3.927 3,P=0.047 5)。结论:改良鼻丘径路额窦鼻内镜修正手术治疗难治性鼻-鼻窦炎,疗效显著,预后良好。

Objective To study the curative effect of improved nasal endoscopic sinus mound path correction surgery for refractory rhinosinusitis, and to provide the clear surgical plans for refractory rhinosinusitis patients. Methods A hundred and twenty cases of refractory nasal sinusitis treated from June 2013 to June 2015 were studied. According to the random number table method,they were randomly assigned into improvement group and control group. The 60 patients in control group were treated with front to back open sinus surgery, while the patients in improvement group were treated with nasal endoscopic sinus mound path correction surgery. All patients were followed up for 6 months. The therapeutic effect, complications and recurrence of the two groups were evaluated. Results The total effective rate of surgery in improvement group（95%）was significantly higher than the control group（78.33 %）, the difference between the two groups being statistically significant（χ^2 = 7.211 5, P = 0. 007 2）. The incidence of complications of improvement group（6.67 % ）was significantly lower than the control group（21.67 % ）, the difference between the two groups being statistically significant（x2= 5. 551 1, P = 0. 0185）. The modified recurrence rate in improvement group （3. 33% ）was significantly lower than the control group（13.33%）, the difference between the two groups being statistically significant （x2 = 3. 927 3, P=0. 047 5）. Conclusions The curative effect of improved nasal endoscopic sinus mound path correction surgery for refractory rhinosinusitis is good with significant efficacy and satisfied prognosis, which is worthy of clinical application.