VAS评分对鼻咽癌放疗后慢性鼻-鼻窦炎治疗方案选择的价值

doi:10.6040/j.issn.1673-3770.0.2013.146

山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (4): 66-69.doi: 10.6040/j.issn.1673-3770.0.2013.146

VAS评分对鼻咽癌放疗后慢性鼻-鼻窦炎治疗方案选择的价值

刘阳云,李正贤,江文,毛坤华,陈琼,常恩格

解放军第163中心医院耳鼻喉头颈外科，长沙 410003

收稿日期:2013-05-14 发布日期:2013-08-16
作者简介:刘阳云。 Email:lyyundr@aliyun.com
基金资助:
湖南省卫生厅科研项目(C2012-009)

Visual analogue score on treatment choice for nasopharyngeal carcinoma patients with post-radiotherapy chronic rhino-sinusitis

LIU Yang-yun, LI Zheng-xian, JIANG Wen, MAO Kun-hua, CHEN Qiong, CHANG En-ge

Department of Otolaryngology, No.163 Hospital of Chinese PLA, Changsha 410003, China

Received:2013-05-14 Published:2013-08-16

摘要/Abstract

摘要：

目的探讨VAS评分对鼻咽癌放疗后慢性鼻-鼻窦炎治疗方案选择的价值。方法 98例鼻咽癌放疗后慢性鼻-鼻窦炎患者被分成3组，分别经保守治疗(组1)、经上颌窦自然口扩大(组2)及联合下鼻道开窗(组3)为特征的鼻内镜手术治疗，分析这些患者治疗前后视觉模拟量表(VAS)评分的特点。结果保守治疗前后仅黏脓性鼻涕VAS评分有统计学意义，手术治疗黏脓性鼻涕和面部胀痛VAS评分差异有统计学意义，联合下鼻道开窗组优于单纯上颌自然口扩大组。结论对于黏脓性鼻涕、面部胀痛这两项VAS评分较高的患者宜选择以上颌窦自然口扩大联合下鼻道开窗术为主的综合治疗方案。

关键词: 慢性鼻-鼻窦炎;放疗, 治疗方案, VAS评分

Abstract:

Objective To investigate the value of visual analogue score(VAS) on nasopharyngeal carcinoma patients with post-radiotherapy chronic rhino-sinusitis (post-RT-CRS) by treatment choice. Methods 98 patients were divide into three groups: the expectant treatment(group 1), the maxillary natural ostium enlargement (group 2) and the combined fenestration operation(group 3) under nasal endoscopy groups. The VAS before and after treatment was analyzed. Result Only the VAS of purulent secretion was statistical difference in group 1,but the VAS of purulent secretion and facial gas pains were statistical difference in group 2 and 3 and the curative effect of group 3 was better than that of group 2. Conclusion Maxillary natural ostium enlargement in combination with fenestration operation by nasal endoscopy is suitable for post-RT-CRS patients with high VAS at purulent secretion and facial gas pains.

Key words: Visual analogue score, Chronic rhinosinusitis, Treatment plan, Radiotherapy

中图分类号:

R765.4+1

刘阳云,李正贤,江文,毛坤华,陈琼,常恩格. VAS评分对鼻咽癌放疗后慢性鼻-鼻窦炎治疗方案选择的价值[J]. 山东大学耳鼻喉眼学报, 2013, 27(4): 66-69.

LIU Yang-yun, LI Zheng-xian, JIANG Wen, MAO Kun-hua, CHEN Qiong, CHANG En-ge. Visual analogue score on treatment choice for nasopharyngeal carcinoma patients with post-radiotherapy chronic rhino-sinusitis[J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(4): 66-69.

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VAS评分对鼻咽癌放疗后慢性鼻-鼻窦炎治疗方案选择的价值

Visual analogue score on treatment choice for nasopharyngeal carcinoma patients with post-radiotherapy chronic rhino-sinusitis

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