鼻内窥镜手术治疗鼻腔鼻窦肿瘤的临床疗效观察

摘要

Objective To explore the clinical curative effect of nasal endoscopic surgery for nasal sinus tumor.Methods 124 cases of nasal sinus tumor in our hospital from January 2012 to December 2014 were selected,and divided into observation group and control group with the random number table method.62 cases in observation group were treated by nasal endoscopic surgery,while 62 cases in control group were treated by conventional lateral rhinotomy.Observed operation time,intraoperative blood loss,postoperative pain,and complications of the two groups,observed the recurrence of 1-3 years' follow-up.Results There were statistically significant differences in operation time of type I,II patients between observation group and control group [(37.63±15.19)min vs.(68.14±10.36)min,(61.34±9.15)min vs.(100.21±16.12)min;P＜0.01].There were statistically significant differences in intraoperative blood loss of type l,II patients between observation group and control group [(71.36±5.92)ml vs.(217.33± 11.42)ml,(205.42± 10.78)ml vs.(312.28±9.26)ml;P＜0.01].There was statistically significant difference in VAS score between observation group and control group [(3.11±0.81) vs.(6.32±1.23),P＜0.05].There was statistically signi.ficant difference in the incidence of complications between observation group and control group (9.68％ vs.29.03％,P＜0.05).There was statistically significant difference in the recurrence rate between observation group and control group (4.84％ vs.16.13％,P＜0.05).Conclusion Nasal endoscopic surgery for nasal sinus tumor can shorten the operation time,decrease intraoperative blood loss,reduce the degree of postoperative pain,reduce the incidence of postoperative complications and recurrence rate.%目的 探讨鼻内窥镜手术治疗鼻腔鼻窦肿瘤的临床疗效.方法 选择2012年1月至2014年12月期间本院收治的鼻腔鼻窦肿瘤患者124例,采用随机数字表法分为观察组和对照组,观察组62例患者采用鼻内窥镜手术治疗,对照组62例患者采用传统鼻侧切开术治疗,观察两组手术时间、术中出血量、术后疼痛情况和并发症发生情况,随访1～3年观察复发情况.结果 观察组I型手术时间为(37.63±15.19) min,与对照组I型的(68.14± 10.36) min比较差异有统计学意义(P＜0.01),观察组Ⅱ型手术时间为(61.34±9.15) min,与对照组II型的(100.21±16.12) min比较差异有统计学意义(P＜0.01);观察组I型术中出血量为(71.36±5.92) ml,与对照组I型的(217.33±11.42) ml比较差异有统计学意义(P＜0.01),观察组Ⅱ型术中出血量为(205.42±10.78) ml,与对照组Ⅱ型的(312.28±9.26) ml比较差异有统计学意义(P＜0.01);观察组VAS评分为(3.11±0.81),与对照组的(6.32±1.23)比较差异有统计学意义(P＜0.05);观察组并发症发生率为9.68％,与对照组的29.03％比较差异有统计学意义(P＜0.05);观察组复发率为4.84％,与对照组的16.13％比较差异有统计学意义(P＜0.05).结论 鼻内窥镜手术治疗鼻腔鼻窦肿瘤可以缩短手术时间,减少术中出血量,降低术后疼痛程度,降低术后并发症的发生率和复发率.