嗅觉障碍患者鼻内镜手术前后鼻气道阻力分析

程慧娟; 赵玉林; 马菲; 陈安; 张亚倩

doi:10.13201/j.issn.1001-1781.2013.17.015

嗅觉障碍患者鼻内镜手术前后鼻气道阻力分析

- 郑州大学第一附属医院鼻科(郑州, 450052)

详细信息

通讯作者: 赵玉林,E-mail:zhaoyulinmail@163.com

中图分类号: R736.4

收稿日期: 2012-06-10

Analyses of the olfactory disorder patients′nasal airway resistance before and after endoscopic sinus surgery

- Department of Rhinology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China

More Information

Corresponding author: ZHAO Yulin, E-mail: zhaoyulinmail@163.com

Received Date: 10 June 2012

摘要

摘要: 目的:探讨嗅觉障碍患者鼻内镜手术前后鼻气道阻力变化及嗅觉恢复情况。方法:采用五味试嗅液检查法和前鼻测压法对105例伴有嗅觉障碍的慢性鼻-鼻窦炎、鼻息肉患者的嗅觉功能及鼻气道阻力进行测试,并按照术前嗅觉障碍程度及术后嗅觉恢复情况进行分组。结果:术前患者嗅觉障碍程度随着临床分期增高呈现出加重的趋势,术后6个月嗅觉改善情况临床分期较低及术前嗅觉障碍较轻者恢复情况较好;手术后3组嗅觉功能障碍程度不同的患者与术前相比鼻气道阻力均降低,术前嗅觉障碍程度不同及术后嗅觉恢复情况不同的患者之间术后鼻气道阻力无差别。结论:鼻内镜手术能降低嗅觉障碍患者术后鼻气道阻力,结合鼻气道阻力能进一步综合评价嗅觉障碍患者鼻内镜手术的疗效。
- 嗅觉障碍 /
- 鼻内镜手术 /
- 鼻气道阻力
Abstract: Objective: To explore the changes of nasal airway resistance (NAR) and olfactory recovery in patients with olfactory disorder before and after endoscopic sinus surgery.Method: Olfactory functions and NAR in 105 patients with olfactory disorder diagnosed as chronic rhino-sinusitis and/or nasal polyps were measured with five taste test olfactory liquid and anterior rhinomanometry. The patients were grouped according to their olfactory disturbance degree before the surgery and recovery of olfaction after the surgery.Result: Before the surgery, the degree of olfactory disorder were accompanied with varied clinic classifications. Six months after the surgery, the patients whose conditions were less serious before surgery recovered better. Before and after the surgery, significant difference of the nasal airway resistance was found between the three-groups whose olfactory disorder degree were different. After the surgery, no difference was found of the nasal airway resistance between the three-groups whose olfactory disorder degree were different before the surgery and the recovery of olfaction degree were different after the surgery.Conclusion: Endoscopic sinus surgery can decrease the nasal airway resistance of patients with olfactory disorder. We can evaluate the efficacy of endoscopic sinus surgery more objectively combined with nasal airway resistance analysis.
- olfactory disorder /
- endoscopic sinus surgery /
- nasal airway resistance

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参考文献(6)

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