鼻内镜手术对复发性鼻窦炎患者临床症状影响

Influence of Endoscopic Sinus Surgery on Clinical Symptoms in Patients with Recurrent Sinusitis

目的探讨鼻内镜手术在复发性鼻窦炎患者中的临床症状的影响。方法选择2017年4月~2018年2月入院治疗的复发性鼻窦炎患者70例,采用数字随机法分为对照组和观察组,各35例。对照组采用经鼻外径路手术治疗,观察组采用鼻内镜手术治疗,采用视觉疼痛模拟评分、鼻窦CT Lund Mackay评分及鼻内镜Lund-Kennedy评分对两组手术前、手术后疼痛及效果进行评估;记录并统计两组手术后鼻中隔和下鼻甲粘连、下颌窦开口狭窄、眶周软组织淤血发生率,比较两组临床疗效及安全性。结果观察组手术后VAS评分(1.27±0.31)分、鼻窦CT Lund Mackay评分(6.82±1.28)分、鼻内镜Lund-Kennedy评分(5.98±1.21)分,均低于对照组VAS评分(3.43±0.46)分、鼻窦CT Lund Mackay评分(9.41±1.45)分、鼻内镜Lund-Kennedy评分(7.86±1.89)分,差异有统计学意义(P<0.05);观察组手术后鼻中隔和下鼻甲粘连、下颌窦开口狭窄、眶周软组织淤血发生率为5.71%,低于对照组的42.86%,差异有统计学意义(P<0.05)。结论将鼻内镜手术用于复发性鼻窦炎患者中有助于减轻患者疼痛,改善患者症状,并发症发生率较低。

Objective To investigate the influence of endoscopic sinus surgery on clinical symptoms in patients with recurrent sinusitis.Methods 70 patients with recurrent sinusitis admitted to hospital from April 2017 to February 2018 were randomly divided into control group and observation group,35 cases in each group.The control group was treated by transnasal approach,the observation group was treated by endoscopic surgery,the visual pain analogue score,sinus CT Lund Mackay score and nasal endoscopic Lund-Kennedy score were used to evaluate the pain and effect before and after operation.The incidence of nasal septum and inferior turbinate adhesion,mandibular sinus stenosis and periorbital soft tissue congestion were recorded and counted.The clinical efficacy and safety of the two groups were compared.Results VAS score（1.27 ±0.31）,sinus CT Lund Mackay score（6.82 ±1.28）,and nasal endoscopy Lund-Kennedy score（5.98 ±1.21）score after operation in the observation group were significantly lower than those in the control group,of which the scores of VAS score（3.43 ±0.46）,sinus CT Lund Mackay score（9.41 ±1.45）and nasal endoscopy Lund-Kennedy score（7.86 ±1.89）,the difference was statistically significant（P〈0.05）.The incidence of nasal septum and inferior turbinate adhesion,mandibular sinus stenosis and soft tissue congestion in the observation group was 5.71%,which was lower than that of the control group 42.86%,the difference was statistically significant（P〈0.05）.Conclusion The application of endoscopic sinus surgery in patients with recurrent sinusitis is helpful to relieve pain and improve symptoms,and the incidence of complications is low.