鼻窦球囊扩张术与微创鼻内镜手术治疗慢性鼻-鼻窦炎的对比研究

摘要

Objective To compare the clinical effect of balloon sinuplasty and nasal endoscopic sinus surgery in the treatment of chronic rhinosinusitis (CRS).Methods 100 CRS patients treated by ENT in our hospital were randomly divided into observation group (n=50) and control group (n=50). The control group was treated with nasal endoscopic sinus surgery, and the observation group was treated with balloon sinuplasty. At 12 weeks after the operation, two groups of patients were subjected to the clinical effects, the body function, emotional state and mental state. Results At 12 weeks postoperatively, the olfactory condition of the two groups was significantly improved, and the number of people who had normal olfactory recovery in the observation group was 62.00%, while only 58.00% in control group (P>0.05).Besides,SNOT-20 scores,Lund-Kennedy endoscopic mucosal score,and the removal rate of nasal mucus cilia in the observed group were significantly superior to these in the control group (P<0.05).There was no significant difference in the quality of life(including body function,emotional state and mental state)between the two groups before operation(P>0.05).After 12 weeks of operation, the quality of life scores of the two groups were significantly increased (P<0.05). Meanwhile, the scores of the body function in the observation group were significantly lower than those in the control group (P<0.05); the mood score of the observation group was significantly higher than that of the control group(P<0.05);the psychological status score was significantly higher than that of the control group (P<0.05). Conclusion The treatment of CRS with balloon sinuplasty has good clinical effect, which can significantly improve the nasal state,body capacity and mental state of patients.%目的 分析比较鼻内镜术后鼻腔凡士林纱条填塞止血与电凝止血的疗效,探讨运用电凝止血在鼻内镜术后的可行性.方法 将78例鼻窦炎患者随机分成治疗组和对照组,每组39例,均行鼻内镜手术治疗,对照组术后鼻腔行传统的凡士林纱条填塞止血,治疗组为电凝止血,观察两组患者术后鼻部胀痛情况、术后出血及术后术腔上皮化时间比较.结果 术后12周,观察组62.00%的患者嗅觉正常,高于对照组(P>0.05);术后12周,观察组患者SNOT-20评分、Lund-Kennedy内镜黏膜形态评分和鼻腔黏液纤毛清除时间低于对照组(P<0.05)黏黏黏.且观察组患者机体功能评分、情绪状态评分和心理状态评分较高于对照组(P<0.05).结论 鼻窦球囊扩张术治疗CRS具有良好的临床效果,显著改善患者的鼻腔状态、机体能力及心理状态,值得推广.