内镜手术为主的综合治疗慢性鼻-鼻窦炎伴支气管哮喘患者的生存质量

皇甫辉

doi:10.13201/j.issn.1001-1781.2014.19.015

内镜手术为主的综合治疗慢性鼻-鼻窦炎伴支气管哮喘患者的生存质量

皇甫辉^,

- 山西医科大学第一医院耳鼻咽喉-头颈外科耳鼻咽喉头颈肿瘤山西省重点实验室山西医科大学耳鼻咽喉研究所(太原, 030001)

详细信息

通讯作者: 皇甫辉,E-mail:13934518228@163.com

中图分类号: R765.4

收稿日期: 2014-07-22

Effects of endoscopic surgery on patients with chronic rhinosinusitis with bronchial asthma

HUANG FU Hui^,

- Department of Otolaryngology-Head and Neck Surgery, No. 1 Hospital, Shanxi Medical University, Shanxi Key Laboratory of Otorhinolaryngology Head and Neck Cancer, Key Institute and Laboratory of Otolaryngology affiliated with Shanxi Province, Taiyuan, 030001, China

More Information

Corresponding author: HUANG FU Hui, E-mail: 13934518228@163.com

Received Date: 22 July 2014

摘要

摘要: 目的:探讨以鼻窦内镜手术为主的综合治疗对慢性鼻-鼻窦炎伴支气管哮喘患者的疗效。方法:32例接受鼻内镜手术治疗慢性鼻-鼻窦炎伴支气管哮喘患者,围手术期予以糖皮质激素吸入、喷鼻,鼻腔冲洗等治疗,术后随访3年对临床疗效进行评估。结果:32例经鼻窦内镜手术治疗后慢性鼻-鼻窦炎病情完全控制19例、病情部分控制9例、病情未控制4例,有效率为87.5%;哮喘症状完全控制由术前2例变为9例(P<0.01)。结论:慢性鼻-鼻窦炎鼻息肉伴支气管哮喘经鼻窦内镜手术治疗为主的综合治疗后,能有效控制哮喘症状的发生。
- 鼻窦炎 /
- 鼻息肉 /
- 哮喘 /
- 内镜检查 /
- 糖皮质激素
Abstract: Objective: To investigate the efficacy of endoscopic sinus surgery (ESS)-based multidisciplinary therapy for patients with chronic rhinosinusitis (CRS), nasal polyps and bronchial asthma.Method: The study included 32 patients with CRS, nasal polyps and bronchial asthma who received ESS, besides surgery, who also used glucocorticoid inhalation, nasal spray and nasal irrigation perioperatively. The evaluation of the treatment was performed 3 years post after ESS.Result: In the 32 cases treated with ESS, 19 cases were cured, 9 cases were improved, 4 cases were inefficient by the treatment. The cure rate was 87.5%. The asthma symptoms were improved in 9 patients (P<0.01), compared to 2 before surgery. The numbers of patients with improved symptoms were increased from 2 before the surgery to 9 after the surgery. Conclusion: As the main treatment, endoscopic sinus surgery was effective on CRS with asthma.
- sinusitis /
- nasal polyps /
- asthma /
- endoscopy /
- corticosteroids

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