鼻内镜下鼻窦炎手术中行中鼻甲外侧壁切除的临床效果

Clinical effect of lateral wall resection of middle turbinate in patients with sinusitis undergoing endoscopic sinus surgery

目的探讨鼻内镜下鼻窦炎手术中行中鼻甲外侧壁切除的临床效果。方法选取2014年1月~2018年6月我院收治的200例接受鼻内镜下鼻窦炎手术的鼻窦炎患者作为研究对象,根据随机数字表法分成对照组与研究组,每组各100例。对照组患者实施常规鼻窦开放手术,研究组患者术中实施中鼻甲外侧壁切除。术后跟踪随访6~12个月,比较两组患者的临床治疗效果、治疗前后的临床症状评分、生活质量评分以及不良反应发生情况。结果研究组患者的临床治疗总有效率为96.00%,高于对照组的88.00%,差异有统计学意义(P<0.05);研究组患者治疗后的鼻塞评分为(3.30±1.15)分,鼻漏评分为(4.05±1.20)分,嗅觉障碍评分为(3.20±1.15)分,头面部疼痛评分为(3.25±1.06)分,均低于对照组的(5.15±1.25)、(5.35±1.85)、(4.20±1.05)、(4.80±1.55)分,差异有统计学意义(P<0.05);研究组治疗后的总体健康评分为(74.45±12.65)分,生理功能评分为(72.80±13.90)分,生理职能评分为(65.65±10.40)分,躯体疼痛评分为(69.95±11.50)分,活力评分为(80.50±14.75)分,社会功能评分为(81.60±14.55)分,情感职能评分为(90.30±12.50)分,精神健康评分为(76.75±13.70)分,均高于对照组的(62.50±10.10)、(66.30±10.35)、(58.80±8.70)、(63.80±10.65)、(71.40±12.50)、(74.70±12.05)、(77.45±13.50)、(66.75±12.40)分,差异有统计学意义(P<0.05);研究组患者的不良反应总发生率为10.00%,低于对照组的15.00%,差异有统计学意义(P<0.05)。结论鼻内镜下鼻窦炎手术中实施中鼻甲外侧壁切除的效果确切,值得临床推广应用。

Objective To investigate the clinical effect of lateral wall resection of middle turbinate in patients with sinusitis undergoing endoscopic sinus surgery.Methods From January 2014 to June 2018,200 patients with sinusitis undergoing endoscopic sinus surgery were selected as the subjects,and divided into control group and study group by random number table method,with 100 cases in each group.Routine sinus surgery was performed in the control group,and lateral wall resection of the middle turbinate was performed in the study group.The patients in the two groups were followed up for 6 to 12 months.The clinical therapeutic effect,clinical symptom score and quality of life score before and after treatment,adverse reactions were compared between the two groups.Results The total effective rate of clinical treatment in the study group was 96.00%,which was higher than that of the control group(88.00%),the difference was statistically significant(P<0.05).The nasal congestion score of the study group was(3.30±1.15)points,and the nasal leakage score was(4.05±1.20)points,the olfactory disorder score was(3.20±1.15)points,and the head and face pain score was(3.25±1.06)points,which were lower than those in the control group of(5.15±1.25),(5.35±1.85),(4.20±1.05),(4.80±1.55)points,the differences were statistically significant(P<0.05).The overall health score of the study group after treatment was(74.45±12.65)points,and the physiological function score was(72.80±13.90)points,the score of physiological function was(65.65±10.40)points,the score of somatic pain was(69.95±11.50)points,the score of vitality was(80.50±14.75)points,the score of social function was(81.60±14.55)points,and the score of emotional function was(90.30±12.50)points,the mental health score was(76.75±13.70)points,which were higher than those in the control group of(62.50±10.10),(66.30±10.35),(58.80±8.70),(63.80±10.65),(71.40±12.50),(74.70±12.05),(77.45±13.50),(66.75±12.40)points,the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the study group was 10.00%,which was lower than that of the control group(15.00%),and the difference was statistically significant(P<0.05).Conclusion The effect of the lateral wall resection of the middle turbinate during endoscopic sinusitis is accurate,which is worthy of clinical application.