中国社区医师Issue(35):25-26,28,3.DOI:10.3969/j.issn.1007-614x.2014.35.14
鼻内镜鼻窦手术治疗老年人慢性鼻窦炎的临床疗效
The clinical curative effect of endoscopic sinus surgery in elderly patients with chronic sinusitis
赵小军 1鲍学礼 1蔡克敏1
作者信息
- 1. 225300江苏省泰州市人民医院耳鼻咽喉科
- 折叠
摘要
Abstract
Objective:To investigate the clinical efficacy and safety of nasal endoscopic operation in the treatment of elderly patients with chronic sinusitis,and to analyze its relationship with the clinical classification.Methods:76 elderly patients with chronic sinusitis were selected from January 2009 to December 2011.All of those patients were over 60 years old,and they were treated with nasal endoscopic operation.Based on the classification criteria of chronic sinusitis and nasal polyp:22 cases were typeⅠ;40 cases were typeⅡ;14 cases were typeⅢ.All the patients were given routine preoperative medication,and then treated with nasal endoscopic operation,moreover,all of the patients were followed-up regularly after operation,in order to observe the curative effect.Results:According to the Haikou criteria for evaluation of curative effect,among those 76 elderly patients with sinusitis,the cure rate of typeⅠwas 100%;the cure rate of typeⅡwas 87.5%;the cure rate of typeⅢwas 64.3%;the total cure rate was 86.8%(66/76). The curative effect ofⅠ~Ⅲtypes showed a trend of decline,and the difference was statistically significant(P<0.05). Surgery of 76 cases were successfully completed.The amount of bleeding after operation was normal,and there was no induced phenomena of primary senile disease,also without serious complications.Conclusion:the endoscopic sinus surgery is an effective method in the treatment of elderly patients with chronic sinusitis,and it is a close relationship between clinical efficacy and clinical typing.关键词
慢性鼻窦炎/鼻内镜手术/疗效/老年人Key words
Chronic sinusitis/Endoscopic operation/Curative effect/Elderly people引用本文复制引用
赵小军,鲍学礼,蔡克敏..鼻内镜鼻窦手术治疗老年人慢性鼻窦炎的临床疗效[J].中国社区医师,2014,(35):25-26,28,3.