鼻内窥镜下手术治疗干酪性鼻炎及鼻窦炎的临床观察

Clinical Observation of Endoscopic Sinus Surgery for Caseous Sinusitis and Caseous Rhinitis

目的探讨鼻内窥镜下手术治疗干酪性鼻炎及鼻窦炎的疗效。方法 采用观察传统术式(柯-陆氏术)与鼻内窥镜下手术治疗干酪性鼻炎及鼻窦炎。将65例病人随机分为两组,观察组:鼻内窥镜下手术治疗34例病人;对照组:传统术式治疗31例病人。结果观察组:治愈31例,有效3例;对照组:治愈15例,有效16例。组间比较有显著差异(x2=14.43,P<0.01)。结论鼻内窥镜下手术治疗明显优于传统的手术治疗。

Objective To observe the effect of revision endoscopic sinus surgery for caseous sinusitis and caseous rhinitis. Methods To compare the effect of revision endoscopic sinus surgery with traditional surgery (Ke - lu surgery) for caseous sinusitis and caseous rhinitis. All patients were ramdomly divided into two groups. The treatment group ( n = 34) was treated with revision endoscopic sinus surgery. The control group ( n = 31) was treated with traditional surgery. Results In the treatment group, 31 cases were cured, 3 cases had partial responses; in the control group, 15cases were cured, 16cases had partial responses;O cases had no responses.There was significant difference x2 = 14.43, P < 0. 0. Conclusions Revision endoscopic sinus surgery has an advantage over traditional surgery for caseous sinusitis and caseous rhinitis.