首页|鼻内镜修正性手术联合中鼻甲部分黏膜切除治疗难治性鼻-鼻窦炎的临床效果

鼻内镜修正性手术联合中鼻甲部分黏膜切除治疗难治性鼻-鼻窦炎的临床效果

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目的 探讨鼻内镜修正性手术联合中鼻甲部分黏膜切除治疗难治性鼻-鼻窦炎的临床效果.方法 100例难治性鼻-鼻窦炎患者随机分为两组,对照组行鼻内镜修正性手术治疗,研究组行鼻内镜修正性手术联合中鼻甲部分黏膜切除治疗,比较两组的临床效果、鼻腔功能、并发症以及复发情况.结果 研究组的治疗总有效率高于对照组,复发率低于对照组(P<0.05).术后6个月,研究组的DCAN小于对照组,NMCA、NCV均大于对照组(P<0.05).结论 鼻内镜修正性手术联合中鼻甲部分黏膜切除治疗难治性鼻-鼻窦炎的临床效果显著,可改善患者的鼻腔功能,降低复发风险.
Clinical Effect of Nasal Endoscopic Modified Surgery Combined with Partial Mucosal Resection of Middle Turbinate in the Treatment of Refractory Rhinosinusitis
Objective To explore the clinical effect of nasal endoscopic modified surgery combined with partial mucosal resection of middle turbinate in the treatment of refractory rhinosinusitis.Methods 100 patients with refractory rhinosinusitis were randomly divided into two groups.The control group was treated with nasal endoscopic modified surgery,and the study group was treated with nasal endoscopic modified surgery combined with partial mucosal resection of middle turbinate.The clinical effect,nasal function,complications and recurrence were compared between the two groups.Results The total effective rate of treatment in the study group was higher than that in the control group,and the recurrence rate was lower than that in the control group(P<0.05).At 6 months after surgery,the DCAN in the study group was smaller than that in the control group,and the NMCA and NCV were larger than those in the control group(P<0.05).Conclusions Nasal endoscopic modified surgery combined with partial mucosal resection of middle turbinate in the treatment of refractory rhinosinusitis has significant clinical effect,which can improve the nasal function of patients and reduce the risk of recurrence.

Refractory rhinosinusitisNasal endoscopic modified surgeryPartial mucosal resection of middle turbinate

段明志、董晓丽

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云南省保山市人民医院耳鼻咽喉头颈外科,云南保山 678000

云南省保山市人民医院肿瘤科,云南保山 678000

难治性鼻-鼻窦炎 鼻内镜修正性手术 中鼻甲部分黏膜切除术

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(6)
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