首页|"桥"式保留中鼻甲EESS在EOS型慢性鼻窦炎伴鼻息肉中的疗效观察

"桥"式保留中鼻甲EESS在EOS型慢性鼻窦炎伴鼻息肉中的疗效观察

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目的:探究"桥"式保留中鼻甲扩展式内镜鼻窦手术(extended endoscopic sinus surgery,EESS)在嗜酸性粒细胞(eosinophil,EOS)型慢性鼻窦炎伴鼻息肉(chronic rhinosinusitis with nasal polyps,CRSwNP)中的临床效果.方法:选取 2021 年 7 月—2023 年 5 月于南昌市第一医院就诊的EOS型CRSwNP患者 60 例,随机分为对照组和观察组,各 30 例.对照组采用功能性内镜鼻窦手术(functional endoscopic sinus surgery,FESS)治疗,观察组采用"桥"式保留中鼻甲EESS治疗.观察两组临床疗效、鼻腔功能及嗅觉功能、术中出血量及术后并发症发生情况.结果:观察组术中出血量明显少于对照组,临床总有效率明显高于对照组(P<0.05);观察组术后鼻腔容积、鼻腔最小横截面积均明显大于对照组,鼻气道阻力、嗅觉功能评分及并发症发生率明显均低于对照组(P<0.05).结论:"桥"式保留中鼻甲EESS应用于EOS型CRSwNP中的临床效果显著,可明显减少术中出血量,改善患者的鼻腔功能及嗅觉功能,并降低术后并发症发生率.
Observation on the Curative Effect of "Bridge" Reserved Middle Concha EESS in EOS-type Chronic Rhinosinusitis with Nasal Polyps
Objective:To explore the effect of"bridge"reserved middle concha extended endoscopic sinus surgery(EESS)in eosinophil(EOS)chronic rhinosinusitis with nasal polyps.Method:A total of 60 patients with EOS-type CRSwNP treated in the First Hospital of Nanchang City from July 2021 to May 2023 were selected and randomly divided into control group and observation group,with 30 patients in each group.The control group was treated with functional endoscopic sinus surgery(FESS),and the observation group was treated with"bridge"reserved middle concha EESS.The clinical efficacy,nasal cavity function and olfactory sensation,intraoperative bleeding volume and postoperative complications of the two groups were observed.Result:The intraoperative bleeding volume in the observation group was significantly less than that in the control group,and the total clinical effective rate was significantly higher than that in the control group(P<0.05).After surgery,nasal cavity volume and nasal minimal cross-sectional area in the observation group were significantly higher than those in the control group,and nasal airway resistance,olfactory sensation score and complication rate were significantly lower than those in the control group(P<0.05).Conclusion:The application of"bridge"reserved middle concha EESS in EOS-type CRSwNP has significant clinical effect,which can significantly reduce the intraoperative bleeding volume,improve the nasal cavity function and olfactory sensation of patients,and reduce the incidence of postoperative complications.

Chronic rhinosinusitisNasal polypsSinus surgeryOlfactory function

杨明、鲍希安、朱皓华、邹飞、邹文、苗春雨

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南昌市第一医院耳鼻喉科 江西 南昌 330008

慢性鼻窦炎 鼻息肉 鼻窦手术 嗅觉功能

江西省卫生健康委科技项目

202311213

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(13)
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