鼻内镜手术联合全降解鼻窦药物支架植入治疗慢性鼻窦炎伴鼻息肉的效果OA
Effect of Nasal Endoscopic Surgery Combined with Total Degradation Sinus Drug Stent Implantation in the Treatment of Chronic Sinusitis with Nasal Polyps
目的:观察鼻内镜手术联合全降解鼻窦药物支架植入治疗慢性鼻窦炎(CRS)伴鼻息肉的效果.方法:选取2022年2月—2023年2月东莞东华医院收治的70例CRS伴鼻息肉患者.根据随机数表法将其分为对照组和观察组,各35例.对照组给予鼻内镜手术联合布地奈德治疗,观察组给予鼻内镜手术联合全降解鼻窦药物支架植入治疗.比较两组时间指标,治疗前和术后 1 个月鼻窦炎症情况、鼻腔情况及并发症.结果:观察组鼻腔恢复通气时间、鼻黏膜恢复时间及住院时间均短于对照组,差异有统计学意义(P<0.05).术后 1 个月,两组鼻窦CT Lund-Mackay评分及息肉、水肿、鼻腔分泌物等鼻内镜Lund-Kennedy评分均降低,观察组鼻窦CT Lund-Mackay评分及息肉、水肿、鼻腔分泌物、瘢痕/结痂等鼻内镜Lund-Kennedy评分均低于对照组,差异有统计学意义(P<0.05).观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05).观察组总有效率高于对照组,复发率低于对照组,差异有统计学意义(P<0.05).结论:鼻内镜手术联合全降解鼻窦药物支架植入治疗CRS伴鼻息肉患者的效果显著,可明显改善鼻部相关症状及鼻窦CT、鼻内镜评分,加快术后恢复,减少术后并发症发生及远期复发.
Objective:To observe the effect of nasal endoscopic surgery combined with total degradation sinus drug stent implantation in the treatment of chronic sinusitis(CRS)with nasal polyps.Method:A total of 70 patients with CRS with nasal polyps admitted to Dongguan Tungwah Hospital from February 2022 to February 2023 were selected.According to random number table method,the patients were divided into control group and observation group,35 cases in each group.The control group was given nasal endoscopic surgery combined with Budesonide treatment,and the observation group was given nasal endoscopic surgery combined with total degradation sinus drug stent implantation treatment.The time indexes,sinus inflammation condition,nasal cavity condition before treatment and 1 month after surgery,complications were compared between the two groups.Result:The recovery time of nasal ventilation,mucosal recovery time and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).One month after surgery,sinus CT Lund-Mackay scores,endoscopic Lund-Kennedy scores such as polyps,edema and nasal secretions scores were decreased in both groups,and sinus CT Lund-Mackay scores,endoscopic Lund-Kennedy scores such as polyps,edema,nasal secretions/scar and scab scores in observation group were lower than those in control group,the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).The total effective rate of observation group was higher than that of control group,and the recurrence rate was lower than that of control group,the differences were statistically significant(P<0.05).Conclusion:Nasal endoscopic surgery combined with total degradation sinus drug stent implantation in the treatment of CRS patients with nasal polyps has a significant effect,which can significantly improve nasal symptoms and sinus CT and endoscopic scores,accelerate postoperative recovery,and reduce postoperative complications and long-term recurrence.
李文波;温延辉
广东医科大学 广东 东莞 523000||东莞东华医院广东医科大学 广东 东莞 523000
鼻内镜全降解鼻窦药物支架布地奈德慢性鼻窦炎伴鼻息肉并发症复发
Nasal endoscopyTotal degradable sinus drug stentBudesonideChronic sinusitis with nasal polypsComplicationsRecrudescence
《中外医学研究》 2024 (023)
15-19 / 5
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