鼻内镜微创手术治疗慢性鼻-鼻窦炎伴鼻息肉患者的效果

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国家科技期刊平台
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中文摘要：目的:探讨鼻内镜微创手术治疗慢性鼻-鼻窦炎伴鼻息肉(CRSwNP)患者的效果.方法:选取 2020 年 1 月—2022 年 10 月孝感市第一人民医院收治的 120 例CRSwNP患者.根据随机数表法将其分为对照组(60 例)和观察组(60 例).对照组给予传统手术,观察组给予鼻内镜微创手术.比较两组临床疗效,围手术期指标,术前及术后 6 个月鼻腔功能、生活质量及并发症.结果:观察组总有效率高于对照组,差异有统计学意义(P<0.05).观察组手术时间、住院时间、鼻黏膜恢复时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05).术后 6 个月,两组纤毛输送率(MTR)升高,鼻气道总阻力、嗅觉功能均降低,观察组MTR高于对照组,鼻气道总阻力、嗅觉功能均低于对照组,差异有统计学意义(P<0.05).术后 6 个月,两组鼻窦炎相关症状、鼻部症状、情感障碍、睡眠障碍评分及总分均降低,观察组鼻窦炎相关症状、鼻部症状、情感障碍、睡眠障碍评分及总分均低于对照组,差异有统计学意义(P<0.05).观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:CRSwNP患者应用鼻内镜微创手术治疗,可有助于缓解其临床症状,改善鼻腔气流、嗅觉功能、纤毛传输功能,促进术后恢复,提升生活质量,提高临床疗效,且安全性高.

外文标题：Effect of Nasal Endoscopic Minimally Invasive Surgery in the Treatment of Patients with Chronic Rhinosinusitis with Nasal Polyps

外文摘要：Objective:To investigate the effect of nasal endoscopic minimally invasive surgery in the treatment of patients with chronic rhinosinusitis with nasal polyps(CRSwNP).Method:A total of 120 patients with CRSwNP admitted to the First People's Hospital of Xiaogan City from January 2020 to October 2022 were selected.They were divided into control group(60 cases)and observation group(60 cases)according to random number table method.The control group received traditional surgery,and the observation group received nasal endoscopic minimally invasive surgery.The clinical efficacy,perioperative indexes,nasal function,quality of life before and 6 months after surgery and complications were compared between the two groups.Result:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Surgery time,hospital stay and nasal mucosa recovery time in observation group were shorter than those in control group,and intraoperative blood loss volume was less than that in control group,the differences were statistically significant(P<0.05).Six months after surgery,ciliary delivery rate(MTR)increased,and total nasal airway resistance and olfactory function decreased in both groups,MTR of observation group was higher than that of control group,while total nasal airway resistance and olfactory function were lower than those of control group,the differences were statistically significant(P<0.05).Six months after surgery,the scores of sinusitis related symptoms,nasal symptoms,emotional disorders and sleep disorders and total scores were decreased in both groups,and the scores of sinusitis related symptoms,nasal symptoms,emotional disorders and sleep disorders and total scores in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of nasal endoscopic minimally invasive surgery in patients with CRSwNP can help alleviate clinical symptoms,improve nasal airflow,olfactory function,ciliary transport function,promote postoperative recovery,improve quality of life,improve clinical efficacy,and with high safety.

外文关键词：

Minimally invasiveChronic rhinosinusitis with nasal polypsOlfactory functionNasal airflowCiliary transport functionSecurity

作者：

姚斌

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作者单位：

孝感市第一人民医院湖北孝感 432099

关键词：

微创慢性鼻-鼻窦炎伴鼻息肉嗅觉功能鼻腔气流纤毛传输功能安全性

出版年：

2024

DOI：