鼻内镜手术治疗慢性鼻-鼻窦炎的临床疗效和影响因素分析

发布时间：2019-07-11 18:33

【摘要】：目的探讨鼻内镜手术治疗慢性鼻-鼻窦炎的临床疗效和影响因素。方法回顾性分析经鼻内镜手术治疗的167例慢性鼻-鼻窦炎患者的临床资料,通过t检验观察临床疗效,Logistic回归分析影响慢性鼻-鼻窦炎患者手术预后的诸因素。结果鼻内镜手术治疗后,患者临床症状明显改善,总有效率为83.3%,视觉模拟量表(VAS)及Lund-Kennedy评分均显著降低。相关因素分析显示,术前是否保有鼻息肉、是否有前期鼻窦手术史、是否长期应用鼻减充血剂、是否伴变应性鼻炎病史、是否术后坚持综合治疗是影响手术预后的相关因素。结论鼻内镜手术治疗慢性鼻-鼻窦炎临床疗效确切,能明显改善患者的临床症状,同时术后给予综合治疗对于预后也有重要意义。
[Abstract]:Objective to investigate the clinical effect and influencing factors of endoscopic sinus surgery in the treatment of chronic rhinosinusitis. Methods the clinical data of 167 patients with chronic rhinosinuvitis treated by endoscopic sinus surgery were analyzed retrospectively. the clinical efficacy was observed by t test and the factors affecting the prognosis of patients with chronic rhinosinusitis were analyzed by Logistic regression analysis. Results after endoscopic sinus surgery, the clinical symptoms of the patients were significantly improved, the total effective rate was 83. 3%, and the (VAS) and Lund-Kennedy scores of the visual analog scale were significantly decreased. The analysis of related factors showed that whether to retain nasal polyps before operation, whether there was a history of early sinus surgery, whether to use nasal hyperemia agent for a long time, whether to accompany the history of allergic rhinitis, and whether to insist on comprehensive treatment after operation were the related factors affecting the prognosis of operation. Conclusion endoscopic sinus surgery is effective in the treatment of chronic rhinosinusitis and can significantly improve the clinical symptoms of the patients. at the same time, comprehensive treatment after operation is also of great significance for prognosis.
【作者单位】：湖北省荆州市中心医院耳鼻咽喉头颈外科;
【分类号】：R765.41

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