实用临床医药杂志2025，Vol.29Issue(14)：52-55,4.DOI:10.7619/jcmp.20250848
改良内镜鼻窦手术对合并变应性鼻炎的慢性鼻窦炎伴鼻息肉的疗效分析
Efficacy analysis of modified endoscopic sinus surgery for chronic rhinosinusitis with nasal polyps complicated by allergic rhinitis
摘要
Abstract
Objective To observe the efficacy of modified endoscopic sinus surgery(ESS)in treatment of chronic rhinosinusitis with nasal polyps(CRSwNP)complicated by allergic rhinitis(AR).Methods Forty patients with CRSwNP and perennial AR who were scheduled for ESS were divided into study group and control group,with 20 cases in each group.The control group was treated with conventional ESS,while the study group underwent resection of a large part of the middle turbi-nate on the basis of ESS to enhance middle meatal drainage.The postoperative mucosal outcomes,complications,as well as the Visual Analog Scale(VAS),sino-nasal outcome test-20(SNOT-20),and nasal endoscopic Lund-Kennedy scores before surgery,at 3 months after surgery,and at 1 year af-ter surgery were compared between the two groups.Results In the control group,there were 3 cases of local adhesion between the displaced middle turbinate and the lateral nasal wall at 3 months after surgery,and 10 cases of middle turbinate edema at 1 year after surgery,including 4 cases with local polypoid changes in the middle turbinate and polypoid hyperplasia in the ethmoid sinus and frontal re-cess regions.No complications were observed in the study group,and the epithelialization of the surgical area was good.Moreover,the nasal congestion score,olfactory score,and Lund-Kennedy score at 1 year after surgery in the study group were lower than those in the control group,with statistically significant differences(P＜0.05).Conclusion Modified ESS can significantly improve nasal con-gestion and olfactory symptoms in patients with CRSwNP complicated by perennial AR and effective-ly enhance their quality of life.关键词
慢性鼻窦炎伴鼻息肉/变应性鼻炎/改良内镜鼻窦手术/中鼻甲切除/黏膜转归/视觉模拟评分法/鼻腔鼻窦结局测试-20量表/生活质量Key words
chronic rhinosinusitis with nasal polyps/allergic rhinitis/modified endoscopic sinus surgery/middle turbinate resection/mucosal outcome/Visual Analog Scale/sino-nasal out-come test-20/quality of life分类
医药卫生引用本文复制引用
魏先梅,张清照,俞晨杰,崔昕燕..改良内镜鼻窦手术对合并变应性鼻炎的慢性鼻窦炎伴鼻息肉的疗效分析[J].实用临床医药杂志,2025,29(14):52-55,4.基金项目
江苏省南京市卫生科技发展专项资金资助项目(重点项目)(ZKX24017) （重点项目）
南京鼓楼医院临床研究专项项目(2022-LCYJ-MS-31) （2022-LCYJ-MS-31）
