重庆医学2013，Vol.42Issue(10)：1100-1102,3.DOI:10.3969/j.issn.1671-8348.2013.10.008
鼻内镜下双路径联合治疗上颌窦出血坏死性息肉的疗效对比分析
The compared analysis of the therapeutic effects of double pathway under nasal endoscope for patients with maxillary sinus hemorrhagic and necrotic polyps
摘要
Abstract
Objective To explore the therapeutic effects of double pathway under nasal endoscope for patients with maxillary sinus hemorrhagic and necrotic polyps. Methods 24 patients with maxillary sinus hemorrhagic and necrotic polyps accepted endo-scopic surgery united with Caldwell-Luc operation were selected as united group;and 18 patients arranged classic Caldwell-Luc operation were regarded as classic group. The complications,subjective symptom score (VAS), therapeutic effects and recurrence post operation were compared. Results The incidence rate of complication in united group(16. 7%) was obviously different to classic group(44. 4%) (χ2 =3. 889;P = 0. 049). The symptoms score was not different before operation. After one week and one month of the operation,the VAS was lower in united group than classic group (P<0. 01). Until 3 months after operation,the VAS was not different in the two groups. There was no difference of operation time and recovery rate in the two groups, but the length of stay in hospital was significantly shorter for united group compared to classic group(F=4. 568,P<0. 05). The recurrence rate of united group post-operation(0. 0%) was obviously lower than classic group(16. 7%)(χ2 =4. 308;P = 0. 038). Conclusion Compared with the tranditional Caldwell Luc operation,the operation of nasal endoscope united with Caldwell-Luc operation has less wound,quick symptomatic relief,less complications and lower recurrence rate for patients with maxillary sinus hemorrhagic and necrotic polyps.关键词
上颌窦/出血坏死性息肉/鼻内镜/柯-陆氏手术Key words
maxillary sinus/hemorrhagic and necrotic polyps/nasal endoscopy/Caldwell Luc operation引用本文复制引用
陈小林,陈佳,李伟,孙苏光..鼻内镜下双路径联合治疗上颌窦出血坏死性息肉的疗效对比分析[J].重庆医学,2013,42(10):1100-1102,3.
