鼻内镜手术治疗慢性鼻窦炎鼻息肉患者的疗效观察

Effect of Endoscopic Surgery on Patients with Chronic Sinusitis and Nasal Polyps

目的探讨鼻内镜手术治疗慢性鼻窦炎鼻息肉(CRSwNP)患者的疗效。方法选取该院2022年10月—2023年10月收治的86例CRSwNP为研究对象,按随机数字表法将其分为对照组和观察组,各43例。对照组采用传统开放手术治疗,观察组采用鼻内镜手术治疗。比较两组术后疼痛、嗅觉功能、鼻腔通气功能及并发症发生情况。结果术后3 d,观察组疼痛视觉模拟评分低于对照组,差异有统计学意义(P<0.05)。术前,两组嗅觉功能评分比较,差异无统计学意义(P>0.05);术后1个月,两组嗅觉功能评分均低于术前,且观察组嗅觉功能评分低于对照组,差异有统计学意义(P<0.05)。术前,两组鼻腔最小横截面面积(NMCA)、鼻腔容积(NCV)及鼻腔鼻窦结局测试-20(SNOT-20)量表评分比较,组间差异无统计学意义(P>0.05);术后1个月,两组NMCA、NCV均大于术前,SNOT-20评分高于术前,且观察组NMCA、NCV均大于对照组,SNOT-20评分低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率6.98%低于对照组的23.26%,差异有统计学意义(P<0.05)。结论CRSwNP患者采用鼻内镜手术治疗可减轻术后疼痛,改善患者鼻腔通气功能、嗅觉功能及生活质量,减少并发症的发生。

Objective To explore the effect of endoscopic surgery in patients with chronic sinusitis and nasal polyps(CRSwNP).Methods A total of 86 cases of CRSwNP admitted to the hospital from October 2022 to October 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 43 cases in each group.The control group received traditional open surgery treatment,while the observation group received nasal endoscopic surgery treatment.The postoperative pain,olfactory function,nasal ventilation function and complications were compared between the two groups.Results After 3 days of surgery,the pain Visual Analogue Scole score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Before surgery,there was no statistically significant difference in the olfactory function scores between the two groups(P>0.05);one month after surgery,the olfactory function scores of both groups were lower than before surgery,and the olfactory function scores of the observation group were lower than those of the control group,with statistical significance(P<0.05).Before surgery,there was no statistically significant difference in the scores of minimum cross-sectional area of the nasal cavity(NMCA),nasal volume(NCV),and Sinus Outcome Test-20(SNOT-20)scale score between the two groups(P>0.05);1 month after surgery,the NMCA,NCV were greater than before surgery,and SNOT-20 scores of both groups was lower than before surgery,and the observation group had a higher postoperative NMCA and NCV than the control group,while the SNOT-20 score was lower than the control group,with statistical significance(P<0.05).The total incidence of complications in the observation group was 6.98%,which was lower than the control group's 23.26%,the difference was statistically significant(P<0.05).Conclusion Nasal endoscopic surgery for CRSwNP patients can alleviate postoperative pain,improve nasal ventilation function,olfactory function,and quality of life,and reduce the incidence of complications.