功能性内窥镜鼻窦手术(FESS)联合中鼻甲切除术(MT)治疗难治性鼻-鼻窦炎的临床疗效评价

Clinical evaluation of functional endoscopic sinus surgery combined with middle turbinate resection in the treatment of refractory rhinosinusitis

目的:研究难治性鼻窦炎患者采取功能性内窥镜鼻窦手术(FESS)和中鼻甲切除术(MT)联合治疗的应用效果。方法:对2016年12月至2017年12月期间我院收治的84例难治性鼻窦炎患者随机分为参照组及实验组,参照组行功能性内窥镜鼻窦手术(Functional endoscopic sinus surgery,FESS)治疗,实验组行功能性内窥镜鼻窦手术(FESS)和中鼻甲切除术(Middle turbinate resection,MT)联合治疗,分析对比实验组和参照组难治性鼻窦炎患者临床治疗有效率、Lund-Kennedy评分和SNOT-20评分。结果:实验组难治性鼻窦炎患者临床治疗有效率95.23%高于参照组临床治疗有效率78.57%,卡方值为4.233,P=0.023,差别有统计学意义。实验组难治性鼻窦炎患者治疗后Lund-Kennedy评分和SNOT-20评分低于参照组数值,t=18.478/31.416,P=0.0000/0.0000,差别有统计学意义;实验组和参照组难治性鼻窦炎患者治疗后Lund-Kennedy评分和SNOT-20评分低于治疗前数值,t=45.562/54.093,27.087、2.701,P=0.0000/0.0000/0.0000/0.0000,差别有统计学意义。结论:功能性内窥镜鼻窦手术(FESS)和中鼻甲切除术(MT)联合治疗难治性鼻-鼻窦炎患者具有显著应用效果。

Objective: To study the effect of combined endoscopic sinus surgery (FESS) and middle turbinate resection (MT) in patients with refractory rhinosinusitis. Methods: Eighty-four patients with refractory rhinosinusitis who were admitted between December 2016 and December 2017 were divided into a reference group and an experimental group. FESS was performed in the reference group, while FESS and MT were performed in the experimental group. Clinical efficacy, Lund-Kennedy score and SNOT-20 score of refractory rhinosinusitis were analyzed and compared in the experimental group and the reference group. Results: The effective rate of clinical treatment in patients with refractory rhinosinusitis in the experimental group was 95.23 %, higher than that in the reference group (78.57 %). And the chi-square was 4.233, P =0.023. The statistics were statistically significant. After treatment, the Lund-Kennedy score and SNOT-20 score of the experimental group in patients with refractory rhinosinusitis were lower than the reference group values, t =18.478/31.416, P =0.0000/0.0000. The statistics were statistically significant. The Lund-Kennedy score and SNOT-20 score after treatment in patients with refractory rhinosinusitis in the two groups were lower than the pre-treatment values, t =45.562/54.093, 27.087, 2.701, P =0.0000/0.0000/0.0000/0.0000, and the statistics had statistical significance. Conclusion: The combination of FESS and MT has a significant effect in patients with refractory rhinosinusitis.