真菌球型鼻窦炎临床分析及术后生活质量调查

发布时间：2018-04-28 11:16

  本文选题：真菌性鼻窦炎 + 鼻腔鼻窦结局量表　； 参考：《中国耳鼻咽喉颅底外科杂志》2016年01期

【摘要】：目的回顾性分析真菌球型鼻窦炎临床特点,观察鼻内镜手术治疗对患者生活质量改善的影响。方法选择2009年6月~2013年6月住院确诊为真菌球型鼻窦炎患者,调查分析其临床特点,并对2013年1~6月38例患者使用SNOT-20及VAS量表,调查其鼻内镜手术后生活质量改善情况。结果真菌球型鼻窦炎男女发病率分别为30.1%及69.9%,发病年龄为54.08±13.86岁,单侧上颌窦发病率为85.6%,糖尿病发病率为15%,显著高于国内成人发病率(P0.05),术后6个月SNOT-20及VAS量表评分显著减低(P0.01)。结论真菌球型鼻窦炎好发于中老年人群,女性患者多发,以单窦特别是上颌窦为主,糖尿病是发病危险因素之一,手术治疗可以显著提高生活质量。
[Abstract]:Objective to retrospectively analyze the clinical features of fungal spherical sinusitis and to observe the effect of endoscopic sinus surgery on the improvement of quality of life. Methods from June 2009 to June 2013, 38 patients with fungal bulbous sinusitis were investigated and analyzed. 38 patients were treated with SNOT-20 and VAS scale from January to June 2013 to investigate the improvement of their quality of life after endoscopic surgery. Results the incidence of fungal spherical sinusitis was 30.1% and 69.9% in male and female respectively. The incidence age was 54.08 卤13.86, the incidence of unilateral maxillary sinus was 85.6, and the incidence of diabetes was 15, which was significantly higher than that of adults in China (P 0.05). The scores of SNOT-20 and VAS were significantly decreased at 6 months after operation. Conclusion fungal bulbous sinusitis is more common in middle and old people, especially in female patients, especially in maxillary sinus. Diabetes mellitus is one of the risk factors, and surgical treatment can significantly improve the quality of life.
【作者单位】： 海军总医院全军耳鼻咽喉科中心;
【分类号】：R765.9
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本文编号：1815055