对比修正性鼻内镜鼻窦手术与初次鼻内镜鼻窦手术治疗慢性鼻-鼻窦炎的疗效

Comparison of Modified Endoscopic Sinus Surgery and Primary Endoscopic Sinus Surgery for Chronic Rhinosinusitis

目的研究对比初次鼻内镜鼻窦手术(PESS)与修正性鼻内镜鼻窦手术(RESS)治疗慢性鼻-鼻窦炎的临床效果。方法将本院2018年3月至2019年2月接收的60例慢性鼻-鼻窦炎患者随机均分成两组,对照组既往接受过传统鼻窦手术或鼻内镜鼻窦手术现已复发,采取修正性鼻内镜鼻窦手术(RESS)治疗;试验组既往无鼻部手术史,采取初次鼻内镜鼻窦手术(PESS)治疗。比较两组治疗效果。结果试验组与对照组总治疗有效率比较,差异不大(P>0.05);试验组SNOT-20评分、SF-36评分均高于对照组,数据差异显著(P<0.05)。结论慢性鼻-鼻窦炎经PESS治疗或RESS治疗均能取得良好效果,前者有利于改善生活质量,后者有利于消除不良症状。

Objective To compare the clinical effects of primary endoscopic sinus surgery(PESS)and modified endoscopic sinus surgery(RESS)in the treatment of chronic rhinosinusitis.Methods Sixty patients with chronic rhinosinusitis who were received from March 2018 to February 2019 were randomly divided into two groups.The control group had undergone traditional sinus surgery or endoscopic sinus surgery.The experimental group had no history of nasal surgery and was treated with PESS.Compare the effects of the two groups.Results The total effective rate of the two groups was close,P>0.05,no statistical significance;the SNOT-20 score of the control group was lower than that of the experimental group,and the SF-36 score was lower than the experimental group,P<0.05,which was statistically significant.Conclusion Chronic rhinosinusitis can achieve good results by PESS treatment or RESS treatment.The former is beneficial to improve the quality of life,and the latter is beneficial to eliminate the bad symptoms.