首页|鼻内窥镜微创手术联合糖皮质激素在慢性鼻窦炎并鼻息肉临床治疗中的应用效果及对并发症发生率的影响分析

鼻内窥镜微创手术联合糖皮质激素在慢性鼻窦炎并鼻息肉临床治疗中的应用效果及对并发症发生率的影响分析

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目的 分析鼻内窥镜微创手术联合糖皮质激素在慢性鼻窦炎并鼻息肉临床治疗中的应用效果及其对并发症发生率的影响.方法 回顾性选取2021年1月—2023年12月仙桃第三医院耳鼻咽喉科收治的100例慢性鼻窦炎并鼻息肉患者的临床资料,以不同治疗方法分组,每组50例,常规组采用鼻内窥镜微创手术治疗,联合组采用鼻内窥镜微创手术联合糖皮质激素治疗.对比两组治疗效果.结果 治疗后,联合组症状积分、嗅觉障碍评分低于常规组,治疗有效率高于常规组,差异有统计学意义(P均<0.05);联合组并发症发生率为4.00%(2/50),低于常规组的16.00%(8/50),差异有统计学意义(χ2=4.000,P<0.05).结论 鼻内窥镜微创手术联合糖皮质激素在慢性鼻窦炎并鼻息肉的临床治疗中表现出良好的效果,不仅能有效缓解不适症状、改善嗅觉功能,还能提高治疗有效率并降低并发症发生率.
Analysis of the Application Effect of Minimally Invasive Nasal Endoscopic Surgery Combined with Glucocorticoids in the Clinical Treatment of Chronic Rhinosinusitis with Nasal Polyps and its Impact on the Complica-tion Rate
Objective To analyze the effect of endoscopic minimally invasive surgery combined with glucocorticoid in the clinical treatment of chronic sinusitis complicated with nasal polyps and its influence on the incidence of complica-tions.Methods Clinical data of 100 patients with chronic sinusitis complicated with nasal polyps admitted to Depart-ment of Otolaryngology,Xiantao Third Hospital from January 2021 to December 2023 were retrospectively selected,and grouped by different treatment methods,with 50 cases in each group.The conventional group was treated with minimally invasive nasal endoscopic surgery,and the combined group was treated with minimally invasive nasal endo-scopic surgery combined with glucocorticoid.The therapeutic effect of the two groups was compared.Results After treatment,the symptom score and olfactory disorder score of the combined group were lower than those of the conven-tional group,and the treatment effective rate was higher than that of the conventional group,the difference were statis-tically significant(all P<0.05).The complication rate of the combined group was 4.00%(2/50),which was lower than 16.00%(8/50)of the conventional group,and the difference was statistically significant(χ2=4.000,P<0.05).Conclu-sion Minimally invasive nasal endoscopic surgery combined with glucocorticoids showed good results in the clinical treatment of chronic rhinosinusitis with nasal polyps,which not only effectively relieved the uncomfortable symptoms and improved the olfactory function,but also increased the therapeutic efficacy and lowered the complication rate.

Minimally invasive nasal endoscopic surgeryGlucocorticoidChronic sinusitisNasal polypTreatment efficiency

周航、李桂平、彭会友

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仙桃第三医院耳鼻咽喉科,湖北 仙桃 433000

鼻内窥镜微创手术 糖皮质激素 慢性鼻窦炎 鼻息肉 治疗有效率

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(14)