鼻内窥镜手术治疗慢性鼻窦炎的效果观察

Effects of endoscopic sinus surgery in treatment of chronic sinusitis

目的:观察鼻内窥镜手术治疗慢性鼻窦炎的临床效果。方法:选取88例慢性鼻窦炎患者作为观察对象,按照随机数字表法将其分为对照组和研究组各44例。对照组采用Wigand术式治疗,研究组采用鼻内窥镜手术方法治疗,比较两组临床疗效、手术时间及术中出血量、手术并发症发生情况及随访12个月的复发情况。结果:研究组治疗有效率为90.91%(40/44),明显高于对照组的68.18%(30/44),差异有统计学意义(P<0.05);研究组手术时间明显短于对照组,术中出血量明显少于对照组,差异均有统计学意义(P<0.05);研究组术后并发症发生率为6.82%(3/44),明显低于对照组的22.73%(10/44),差异有统计学意义(P<0.05);研究组复发率为2.27%(1/44),明显低于对照组的15.91%(7/44),差异有统计学意义(P<0.05)。结论:鼻内窥镜手术治疗慢性鼻窦炎患者的临床效果优于Wigand术式治疗,可明显缩短手术时间,减少术中出血量,且术后并发症发生率及复发率均较低。

Objective： To observe clinical effects of endoscopic sinus surgery in treatment of chronic sinusitis. Methods： 88 patients with chronic sinusitis were selected as the observation subjects, and they were divided into control group （n =44） and study group （n=44） according to the random number table method. The control group was treated with Wigaaad surgery, while the study group was treated with endoscopic sinus surgery. The clinical effects, operation time and intraoperative blood loss, surgical complications and recurrence at 12 months follow-up were compared between the two groups. Results： The effective rate of the study group was 90.91% （40/44）, which was significantly higher than that of the control group （68.18%, 30/44）, and the difference was statistically significant （P〈0.05）. The operation time of the study group was significantly shorter than that of the control group, the intraoperative blood loss was significantly less than that of the control group, and the differences were statistically significant （P〈0.05）. The postoperative complication rate was 6.82% （3/44） in the study group, which was significantly lower than 22.73% （10/44） in the control group, and the difference was statistically significant （P〈0.05）. The recurrence rate of the study group （2.27%, 1/44） was significantly lower than that of the control group （15.91%, 7/44）, and the difference was statistically significant （P〈0.05）. Conclusions： Compared with the Wigand surgery, the endoscopic sinus surgery in the treatment of chronic sinusitis has a definite effect, and can significantly shorten the operation time and reduce the amount of intraoperative blood loss and the postoperative complication rate. Moreover, its recurrence rate is lower.