鼻内镜技术用于治疗鼻腔鼻窦恶性肿瘤的临床疗效观察

发布时间：2018-04-15 12:01

本文选题：鼻内镜 + 鼻腔鼻窦恶性肿瘤　；参考：《实用癌症杂志》2016年11期

【摘要】：目的探讨鼻内镜技术治疗鼻腔鼻窦恶性肿瘤的临床疗效。方法选取80例鼻腔鼻窦肿瘤患者,40例患者鼻内镜下行手术切除(观察组),根据每个肿瘤类型和部位的不同,确定鼻内镜下手术切除范围。另40例患者行传统手术方法(对照组)。比较2组手术时间,术中出血量、术后疼痛视觉模拟评分(VAS),术后焦虑自评量表评分(SAS)、术后并发症和复发率情况。结果观察组的手术时间和术中出血量均明显少于对照组(P0.05);观察组术后视觉模拟评分(VAS)和焦虑自评量表评分(SAS)均明显低于对照组(P0.05);观察组的并发症和复发率均低于对照组(P0.05)。结论鼻内镜技术切除鼻腔鼻窦肿瘤损伤小、手术时间短、出血量少、术后疼痛少,术后焦虑较轻,术后并发症和复发率低,具有较好临床疗效,值得临床推广应用。
[Abstract]:Objective to investigate the clinical effect of nasal endoscopy in the treatment of malignant tumors of nasal cavity and sinuses.Methods Eighty patients with tumors of nasal cavity and paranasal sinuses were treated by endoscopic surgery (observation group). According to the type and location of each tumor, the scope of endoscopic resection was determined.The other 40 patients were treated with traditional surgical methods (control group).The operative time, intraoperative bleeding volume, postoperative pain visual analogue score (VASA), postoperative anxiety scale score (SAS), postoperative complications and recurrence rate were compared between the two groups.Results the time of operation and the amount of intraoperative bleeding in the observation group were significantly less than those in the control group (P 0.05), the visual analogue score (VASS) and the anxiety scale (SAS) in the observation group were significantly lower than those in the control group (P 0.05), and the complications and recurrence rates in the observation group were lower than those in the control group (P 0.05).Conclusion Endoscopic excision of nasal cavity and paranasal sinus tumor has less injury, shorter operation time, less bleeding, less postoperative pain, less postoperative anxiety, lower postoperative complication and recurrence rate, which is worthy of clinical application.
【作者单位】：陕西省商洛市第二人民医院;
【分类号】：R739.62

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