修正性鼻内镜手术联合中鼻甲切除系统对难治性鼻息肉鼻窦炎患者的疗效分析

摘要

Objective To study the fixed nasal endoscopic surgery combined with turbinate resection system of refractory nasal polyps sinusitis patients curative effect.Methods From December 2014 to June 2016,92 patients in our hospital for treatment of refractory nasal polyps sinusitis which were randomly divided into observation group and control group,with 46 cases in each.The patients in the observation group were treated with modified nasal endoscopic surgery combined with turbinate resection treatment system,and control group patients underwent conventional surgical treatment.The effects of two groups were compared.Results Total efficiency of the observation group was significantly higher than that of the control group.Symptoms after treatment in the two groups,SNOT-20 scores were significantly lower thon these in the treatment before,and symptoms after the treatment group,SNOT-20 scores were significantly lower than these of control group.The complication rate and recurrence rate in the observation group were significantly lower than the control group.The differences were statistically significant (P ＜ 0.05).Conclusion The correction of nasal endoscopic surgery combined with turbinate resection system in the treatment of refractory nasal polyps sinusitis effect significantly,can significantly reduce the pain of patients,and promote an early recovery of patients.%目的 研究修正性鼻内镜手术联合中鼻甲切除系统对难治性鼻息肉鼻窦炎患者的疗效.方法 选取从2014年12月～ 2016年6月,于笔者医院进行治疗的难治性鼻息肉鼻窦炎患者92例.采用数字法随机分为观察组及对照组各46例.观察组患者均行修正性鼻内镜手术联合中鼻甲切除系统治疗,对照组患者则行常规手术治疗,对比两组效果.结果 观察组治疗总有效率显著高于对照组;两组治疗后症状、SNOT-20评分均显著低于治疗前,而观察组治疗后症状、SNOT-20评分又明显低于对照组;观察组并发症发生率以及复发率均显著低于对照组,上述差异均有统计学意义(P均＜0.05).结论 修正性鼻内镜手术联合中鼻甲切除系统治疗难治性鼻息肉鼻窦炎效果显著,能明显减轻患者痛苦,促进患者早日康复.