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鼻内窥镜下同期手术治疗鼻中隔偏曲并慢性鼻-鼻窦炎效果分析 预览

Analysis of Effect of Simultaneous Operation under Nasal Endoscope in Treatment of Deviation of Nasal Septum Combined with Chronic Rhino-sinusitis
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摘要 目的分析鼻中隔偏曲并慢性鼻-鼻窦炎患者实施鼻内窥镜下同期手术治疗的效果。方法2015年3月—2018年3月间选取72例该院收治的鼻中隔偏曲并慢性鼻-鼻窦炎患者,按随机表法将其分为实验组(n=36)、对照组(n=36),实验组:鼻内窥镜下同期手术治疗,对照组:常规治疗,观察两组治疗效果、并发症发生率、嗅觉功能恢复情况、鼻甲粘连情况、复发率、炎症因子。结果实验组治疗效果(91.67%vs72.22%)高于对照组,并发症发生率(11.11%vs30.56%)(χ^2=4.126,P=0.042)、复发率(13.89%vs36.11%)(χ^2=4.741,P=0.029)、鼻甲粘连情况(16.67%vs38.89%)(χ^2=4.431,P=0.035)、炎症因子低于对照组,嗅觉功能恢复情况[(24.22±2.32)分vs(20.51±2.03)分]优于对照组(t=7.221,P<0.05)。结论鼻中隔偏曲并慢性鼻-鼻窦炎患者实施鼻内窥镜下同期手术治疗的效果显著,术后复发率较低,安全性较高,值得临床推广借鉴。 Objective To analyze the effect of simultaneous operation under nasal endoscope in treatment of deviation of nasal septum combined with chronic rhino-sinusitis.Methods 72 cases of patients with deviation of nasal septum combined with chronic rhino-sinusitis treated in our hospital from March 2015 to March 2018 were selected and randomly divided into two groups with 36 cases in each,the experimental group were treated with simultaneous operation under nasal endoscope,while the control group used the routine therapy,and the treatment effect,incidence rate of complications,recovery of olfactory function,conglutination of turbinate,recurrent rate and inflammatory factor of the two groups were observed.Results The therapeutic effect of the experimental group(91.67%vs 72.22%)was higher than that of the control group,and the complication rate(11.11%vs 30.56%)(χ^2=4.126,P=0.042)and recurrence rate(13.89%vs 36.11%)(χ^2=4.741,P=0.029),nasal adhesions(16.67%vs 38.89%)(χ^2=4.431,P=0.035),inflammatory factors were lower than the control group,olfactory function recovery[(24.22±2.32)points vs(20.51±2.03)points]was better than the control group(t=7.221,P<0.05).Conclusion The effect of simultaneous operation under nasal endoscope in treatment of deviation of nasal septum combined with chronic rhino-sinusitis is obvious with lower postoperative recurrent rate,and higher safety,and it is worth clinical promotion and reference.
作者 陈洪昌 CHEN Hong-chang(Department of Otorhinolaryngology,Xindu District People’s Hospital,Chengdu,Sichuan Province,610500 China)
出处 《系统医学》 2019年第1期30-32,共3页
关键词 鼻中隔偏曲 慢性鼻-鼻窦炎 鼻内窥镜 同期手术 治疗效果 嗅觉功能 Deviation of nasal septum Chronic rhino-sinusitis Nasal endoscope Simultaneous operation Treatment effect Olfactory function
作者简介 陈洪昌(1971-),男,四川成都人,硕士,副主任医师,研究方向:鼻咽癌方向。
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