【摘要】 目的探讨鼻内镜下鼻窦炎手术中实施中鼻甲外侧壁切除的临床疗效影响。方法将2008年7月~2012年7月入住该院的100例行鼻内镜鼻窦炎手术的患者随机地均分为对照组与观察组,各为50例。对照组行单纯鼻窦炎开放手术,观察组在此基础上同时将中鼻甲外侧壁切除术,比较两种术型下的临床疗效、治疗前后患者视觉模拟量表(VAS)主要症状评分以及术后生活质量。结果 ①两组患者术后均随访8~12个月,对照组治愈17例,好转20例,无效13例,总有效率为74.0%;观察组治愈21例,好转26例,无效3例,总有效率为94.0%,两者差异具有显著性(P<0.05);②对照组术后平均换药次数(8.32±1.39)次,明显多于观察组([2.02±0.72)次],两者差异具有显著性(P<0.05);③两组VAS得分差异具有显著性(P<0.05);④根据SNOT-20生活量表评分,对照组治疗前后评分差异无显著性(P>0.05),观察组治疗前后评分差异具有显著性(P<0.05),观察组治疗后评分较对照组治疗后差异具有显著性(P<0.05)。结论慢性鼻-鼻窦炎患者在接受鼻内镜手术的同时,将中壁甲外侧壁进行切除,不仅不会破坏患者鼻腔的解剖结构与形态,而且还最大程度地保证了中鼻道的宽大,且其疗效显著,患者术后生活质量也明显提高,应在临床中加以推广并应用。更多还原

【Abstract】 【Objective】To investigate the clinical curative effect of the lateral wall excision of the middle turbinate under intranasal endoscopic sinusitis surgery.【Methods】100 cases of patients being carried out the endoscopic sinusitis surgery were randomly divided into a control group and an observation group during 2008.07 ~ 2012.07,each 50 cases.The control group accepted the sinusitis open surgery,and the observation group accepted the lateral wall of the middle turbinate resection on basis of the control group.The surgical type of clinical efficacy,the patients VAS symptom score before and after treatment,and postoperative quality of life were compared between the two groups.【Results】① Patients in both groups were followed up for 8 to 12 months,and in the control group,17 cases were cured,20 cases were improved,13 cases were ineffective,and the total effective rate was 74.0%;In the observation group,21 cases were cured,26 cases were improved,3 cases were invalid,and the total effective rate was 94.0%,and there was a statistical difference between the two groups(P <0.05).②The average number of switches times was(8.32±1.39) after treatment,which was higher than the control group [(2.02 ± 0.72)],and there was a significantly statistical difference between the two groups(P <0.05).③There was a significantly statistical difference of VAS score for the two groups(P <0.05).④According to SNOT-20 life scale score,there was no statistical difference of VAS scores for the control group before and after treatment(P >0.05),and there was a significantly statistical difference of VAS scores for the observation group before and after treatment(P <0.05).There was a statistical difference of VAS scores between the two groups after treatment(P <0.05).【Conclusions】The chronic nose-sinusitis endoscopic surgery with the outside wall sidewall removed wouldn’t damage the structure and morphology of patients with nasal anatomy,but also ensure the meatus large,and its effect is significant,and the quality of life of patients was significantly improved,should be promoted and applied in clinic.更多还原