内镜修正性手术联合选择性中鼻甲切除在难治性鼻-鼻窦炎治疗中的应用

怀德; 殷敏; 曹影; 徐敏; 戴俊; 王海旭; 汪守峰; 宋红毛; 金同爱; 程雷

doi:10.13201/j.issn.1001-1781.2016.11.015

内镜修正性手术联合选择性中鼻甲切除在难治性鼻-鼻窦炎治疗中的应用

- 1. 徐州医学院附属淮安医院淮安市第二人民医院耳鼻咽喉科(江苏淮安, 223002);
- 2. 南京医科大学第一附属医院江苏省人民医院耳鼻咽喉科;
- 3. 徐州医学院附属淮安医院淮安市第二人民医院影像科
基金项目:
江苏省淮安市S科技支撑计划（No：HAS2013032）

详细信息

通讯作者: 曹影,E-mail:18305236699@126.com

中图分类号: R765.4

收稿日期: 2016-01-04

Revised endoscopic sinus surgery combined middle turbinectomy in the treatment of refractory rhinosinusitis

- 1. Department of Otorhinolaryngology, Huai'an Second People's Hospital, Xuzhou Medical College, Huai'an, 223002, China;
- 2. Department of Otorhinolaryngology, the First Affiliated Hospital, Nanjing Medical University;
- 3. Department of Radiology, Huai'an Second People's Hospital, Xuzhou Medical College

More Information

Corresponding author: CAO Ying, E-mail: 18305236699@126.com

Received Date: 04 January 2016

摘要

摘要: 目的：探讨鼻内镜修正性手术联合中鼻甲切除治疗难治性鼻-鼻窦炎的临床价值。方法：回顾性分析178例难治性鼻-鼻窦炎患者，按照手术方式不同分为研究组和对照组，每组89例患者。研究组在充分围手术期准备的基础上采取鼻内镜修正性手术联合中鼻甲切除，对照组采用常规手术方法治疗，术后定期随访，比较2组的有效率、并发症发生率及复发情况。结果：随访6个月后，研究组和对照组的总有效率分别为88.76%和68.54%，差异有统计学意义（P<0.05）。研究组并发症发生率也明显低于对照组。结论：在充分围手术期准备的基础上采用鼻内镜修正性手术联合中鼻甲切除治疗难治性鼻-鼻窦炎效果较为肯定，具有临床应用价值。
- 内镜外科手术 /
- 鼻窦炎
Abstract: Objective: To investigate the comprehensive curativeeffect of refractory rhinosinusitis by endoscopic sinus surgery and middle turbinate resection.Method: A retrospective analysis with 178 cases of refractory rhinosinusitis.According to the operation methods, these patients were divided into two groups, observation group and control group, with 89 patients each. The observationgroup received revision endoscopic sinus surgery combined with middle turbinectomy and the control with traditional surgery. Follow-up to observe the curative effect and recurrence rate between the two groups.Result: Follow-up after 6 months, total effective rate of observation group was 88.76% and the effective rate of control group was 68.54%.The total effective rate of observation group is higher than the control group, and non efficiency rate is lower than that of the control group; besides that the incidence of complications and the recurrence rate of the observation group was lower than the control group.Conclusion: It can effectively prevent the recurrence of sinusitis by the revised operation of nasal endoscopic frontal sinus combined with middle turbinate partial or complete removal and fully treatment measures of peri operation period, that is to say it can improve the therapeutic effect of refractory sinusitis witch worthing the clinical popularization and application.
- endoscopic surgical procedures /
- sinusitis

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