鼻内镜手术治疗真菌球型鼻窦病变的效果

发布时间：2018-06-07 16:23

本文选题：真菌球型鼻窦病变 + 鼻窦炎　；参考：《昆明医科大学学报》2016年12期

【摘要】：目的研究对真菌球型鼻窦病变患者进行治疗时使用经鼻内镜手术治疗后的效果.方法收集真菌球型鼻窦病变患者共182例,将患者根据随机、单盲、平行对照设计原则分为对照组(90例)和观察组(92例),对照组患者接受常规手术治疗,观察组患者接受经鼻内镜手术治疗,将2组患者的治疗有效率、病变范围各窦腔评分、平均手术时间、术后并发症发生率进行观察和对比.结果观察组的治疗有效率为94.6%,明显高于对照组的80.0%,观察组病变范围各窦腔评分为0分,显著低于对照组的(13.1±1.9)分,观察组的平均手术时间为(45.4±10.9)min,显著短于对照组的(76.3±10.5)min,观察组的术后并发症发生率为3.2%,显著低于对照组的25.6%,P0.05.结论在真菌球型鼻窦病变患者的治疗过程中,经鼻内镜手术治疗有效清除霉菌病变,迅速缓解患者的痛苦,且并发症少,手术安全可靠,值得推广应用.
[Abstract]:Objective to study the effect of endoscopic sinus surgery in the treatment of fungal spherical paranasal sinus disease. Methods 182 patients with fungal spherical sinus disease were divided into two groups according to the principle of random, single blind and parallel control design. The control group (n = 92) and the control group (n = 92) were treated with routine operation. The patients in the observation group were treated by endoscopic sinus surgery. The effective rate of treatment, the score of each sinus cavity, the average operation time and the incidence of postoperative complications were observed and compared between the two groups. Results the effective rate of treatment in the observation group was 94.6%, which was significantly higher than that in the control group (80.0%). The score of each sinus cavity in the observation group was 0, which was significantly lower than that in the control group (13.1 卤1.9). The average operative time in the observation group was 45.4 卤10.9 minutes, which was significantly shorter than that in the control group (76.3 卤10.5 min). The incidence of postoperative complications in the observation group was 3.2g, significantly lower than that in the control group (25.6g P 0.05). Conclusion in the course of treatment of fungal spherical paranasal sinus disease, endoscopic surgery is effective in removing mycosis, relieving the pain of the patients quickly, with fewer complications, and safe and reliable, which is worthy of popularization and application.
【作者单位】：南京中医药大学附属南京市中西医结合医院耳鼻喉科;
【基金】：国家自然科学基金资助项目(81420108009) 南京市医学科技发展基金资助项目(YKK15176)
【分类号】：R765.9

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