中国耳鼻咽喉头颈外科2024，Vol.31Issue(2)：105-108,4.DOI:10.16066/j.1672-7002.2024.02.008
慢性鼻窦炎伴鼻息肉患者双侧额窦植入缓释糖皮质激素支架的回顾性研究
Retrospective study of bilateral frontal sinus stent implantation in patients with chronic rhinosinusitis with nasal polyps undergoing full functional endoscopic sinus surgery
施晓琼 1高颖娜 1段祥强 1朱敏辉 1宋静 1周励 1郑宏良 1唐海红1
作者信息
- 1. 海军军医大学第一附属医院(上海长海医院)耳鼻咽喉科,上海 200433
- 折叠
摘要
Abstract
OBJECTIVE To assess the efficacy of bioabsorbable steroid-releasing sinus stents for improving surgical outcomes and subjective symptoms when placed in the bilateral frontal sinus opening(FSO)following full functional endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyps(CRSwNP).METHODS CRSwNP patients who had under full functional endoscopic sinus surgery with complete data of nasal endoscopy and sinus computed tomography data were identified and included in the study.The patients were divided into a control group consisting of patients receiving only full functional endoscopic sinus surgery(n=92)and a stent group consisting of patients receiving full functional endoscopic sinus surgery combined with placement of steroid implants in both FSO(n=38).The visual analogue scale(VAS)subjective symptom scores and surgical outcomes were compared preoperatively,and on postoperative day(PD30 and PD90)between the two groups.RESULTS Compared to baseline,the overall symptom VAS scores of patients after operation decreased significantly in both groups(P<0.05),and the degree of improvement of overall symptoms in the stent group was significantly better than in the control group(P<0.05).On PD30,the proportion of patients requiring postoperative interventions for bilateral FSO was reduced by 42.3%in the stent group,and was significantly lower than in the control group(P<0.05).Compared to the control group,the proportion of patients needing postoperative intervention in both ethmoid sinus on the stent group decreased by 17.7%(P>0.05).The results at PD90 were consistent with those at PD30.CONCLUSION Full functional endoscopic sinus surgery in combination with bilateral frontal sinus stent implantation is better than full functional endoscopic sinus surgery alone.关键词
药物洗脱支架/糖皮质激素类/内窥镜检查/鼻窦炎/鼻息肉/缓释糖皮质激素支架/全组鼻窦内镜开放术Key words
Drug-Eluting Stents/Glucocorticoids/Endoscopy/Sinusitis/Nasal Polyps/bioabsorbable steroid-releasing sinus stent/full functional endoscopic sinus surgery引用本文复制引用
施晓琼,高颖娜,段祥强,朱敏辉,宋静,周励,郑宏良,唐海红..慢性鼻窦炎伴鼻息肉患者双侧额窦植入缓释糖皮质激素支架的回顾性研究[J].中国耳鼻咽喉头颈外科,2024,31(2):105-108,4.
