山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (1): 58-60.doi: 10.6040/j.issn.1673-3770.0.2015.223

• 论著 • 上一篇    下一篇

鼻内镜鼻窦手术对鼻窦炎鼻息肉患者嗅觉功能及鼻腔容积的影响

何清泉,李振安,余凤慈   

  1. 佛山市妇幼保健院耳鼻咽喉科, 广东 佛山 528000
  • 收稿日期:2015-06-05 出版日期:2016-02-16 发布日期:2016-02-16
  • 作者简介:何清泉. E-mail:wyz_808@126.com

Effect of endoscopic sinus surgery on airway resistance and olfactory function in patients with sinusitis and nasal polyps.

HE Qingquan, LI Zhenan, YU Fengci.   

  1. Department of Otorhinolaryngology, Foshan Maternal and Child Health Hospital, Foshan 528000, Guangdong, China
  • Received:2015-06-05 Online:2016-02-16 Published:2016-02-16

摘要: 目的 研究鼻内镜鼻窦手术对鼻窦炎鼻息肉患者气道阻力及鼻腔容积的影响。 方法 选择2012年4月至2015年3月收治的85例鼻窦炎伴鼻息肉患者为研究对象,随机分为观察组45例和对照组40例,观察组接受鼻内镜手术,对照组接受常规手术。比较两组患者的气道阻力、嗅觉功能、鼻腔容积与鼻腔最小横截面积。 结果 术后1、4、8、12周时,观察组鼻气道阻力明显低于对照组(P<0.05),同时观察组嗅觉功能明显低于对照组(P<0.05);术后8、12周时,观察组鼻腔容积(NCV)、鼻腔最小横截面面积(NMCA)均明显高于对照组(P<0.05)。 结论 鼻内镜鼻窦手术有助于增大鼻腔容积与鼻腔最小横截面面积,降低气道阻力,改善嗅觉功能。

关键词: 鼻窦炎, 鼻内镜外科手术, 鼻息肉, 鼻腔容积, 嗅觉功能

Abstract: Objective To study the effect of endoscopic sinus surgery on airway resistance and olfactory function in patients with sinusitis and nasal polyps. Methods Ninety patients with sinusitis and nasal polyps in our hospital from April 2012 to March 2015 were randomly divided into the observation group and the control group. The observation group received endoscopic sinus surgery, while the control group received conventional surgery. Then airway resistance, olfactory function, nasal cavity volume(NCV), nasal minimum cross-sectional area(NMCA)were compared between the two groups. Results 1, 4, 8 and 12 weeks after the surgery, the nasal airway resistance were significantly lower in the observation group than in the control group(P<0.05)and the olfactory function scores were significantly lower in the observation group than in the control group(P<0.05); 8 weeks and 12 weeks after the surgery, NCV and NMCA were significantly higher in the observation group than in the control group(P<0.05). Conclusion Nasal endoscopic sinus surgery can help to increase NCV and NMCA, reduce airway resistance and improve the sense of smell functions.

Key words: Nasal polyps, Nasal cavity volume, Sinusitis, Olfactory function, Endoscopic surgical procedures, operative

中图分类号: 

  • R765.4
[1] 杨兆科. 鼻窦灌注液冲洗对慢性鼻窦炎鼻内镜术后的疗效机制研究[J]. 中国全科医学, 2011, 14(24):2740-2742. YANG Zhaoke. Mechanisms for the curative effect of douching with the nasal sinuses perfusate in treating chronic sinusitis after endoscopic sinus surgery[J]. Chin Gen Prac, 2011, 14(24):2740-2742.
[2] Macdonald K I, Gipsman A, Magit A, et al. Endoscopic sinus surgery in patients with cystic fibrosis: a systematic review and meta-analysis of pulmonary function[J]. Rhinol, 2012, 50(4):360-369.
[3] 冯娟, 吴国英, 雍军, 等. 鼻内镜手术治疗伴与不伴鼻息肉的慢性鼻-鼻窦炎患者的疗效[J]. 新疆医科大学学报, 2014, 37(9):1162-1164. FENG Juan, WU Guoying, YONG Jun, et al. Efficacy of endoscopic sinus surgery in the treatment of with and without nasal polyps of chronic nasal-sinusitis[J]. J Xinjiang Med Univ, 2014, 37(9):1162-1164.
[4] 陈仁物, 王德仁. 欧洲鼻窦炎和鼻息肉诊疗意见书2012版:鼻窦炎诊治更新与精要[J]. 解放军医学杂志, 2013, 38(2):87-93. CHEN Renwu, WANG Deren. European position paper on rhinosinusitis and nasal polyps 2012: updates and highlights on diagnosis and treatment of rhinosinusitis[J]. Med J Chin People Lib Army, 2013, 38(2):87-93.
[5] 张海, 杭伟, 张金玲. 鼻内镜下治疗老年慢性鼻窦炎鼻息肉术后嗅觉恢复的相关因素[J]. 中国老年学杂志, 2014, 34(5):1227-1228.
[6] 何艳芳. 鼻内镜对老年鼻窦炎鼻息肉患者鼻腔通气及嗅觉功能影响研究[J]. 中国医药导刊, 2014, 16(2):349-350. HE Yanfang. The nasal ventilation and olfactory of nasal endoscopy for chronic sinusitis and nasal polyps with elderly patients[J]. Chin J Med Guide, 2014, 16(2):349-350.
[7] Nguyen D T, Nguyen-Thi P L, Jankowski R. How does measured olfactory function corelate with self-ratings of the sense of smel in patients with nasal polyposis?[J]. Laryngoscope, 2012, 122(5):947-952.
[8] 陈志鹏, 彭伟, 李文生, 等. 鼻内镜手术对慢性鼻窦炎鼻息肉患者嗅功能的改善作用[J]. 中华实用诊断与治疗杂志, 2014, 28(4):388-389. CHEN Zhipeng, PENG Wei, LI Wensheng, et al. Effect of nasal endoscopy on improving olfactory function in patients with chronic sinusitis and nasal polyps[J]. J Chin Prac Diag Ther, 2014, 28(4):388-389.
[9] Falco A, Amoroso C, Berardini M, et al. A retrospective study of clinical and radiologic outcomes of 69 consecutive maxillary sinus augmentations associated with functional endoscopic sinus surgery[J]. Int J Oral Maxillofac Implants, 2015, 30(3):633-638.
[10] Shpilberg K A, Daniel S C, Doshi A H, et al. CT of anatomic variants of the paranasal sinuses and nasal cavity: poor correlation with radiologically significant rhinosinusitis but importance in surgical planning[J]. Am J Roentgenol, 2015, 204(6):1255-1260.
[11] Tantilipikorn P, Tunsurlyawong P, Jareoncharsri P, et al. A randomized, prospective, double-blind study of the efficacy of dexpanthenol nasal spray on the postoperative treatment of patients with chronic rhinosinusitis after endoscopic sinus surgery[J]. J Med Assoc Thai, 2012, 95(1):58-63.
[12] 李骋,黄谦,崔顺九,等. DrafⅢ型额窦手术对鼻腔功能影响的前瞻性研究[J]. 中华耳鼻咽喉头颈外科杂志, 2014, 49(9):711-716. LI Cheng, HUANG Qian, CUI Shunjiu, et al. Prospective study on the impact of nasal function after Draf Ⅲ frontal sinus surgery[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2014, 49(9):711-716.
[13] McCoul E D, Smith T L, Mace J C, et al. Interrater agreement of nasal endoscopy in patients with a prior history of endoscopic sinus surgery[J]. Int Firum Allergy Rhinol, 2012, 2(6):453-459.
[14] 徐艳红, 何刚, 黄定强, 等. 慢性鼻-鼻窦炎鼻内镜手术预后的影响因素分析[J]. 实用医院临床杂志, 2013, 10(1):117-118. XU Yanhong, HE Gang, HUANG Dingqiang, et al. Analysis of the factors affecting the prognosis of functional endoscopic sinus surgery for chronic rhinosinusitis[J]. Prac J Clin Med, 2013, 10(1):117-118.
[1] 宋晓宇, 张宇, 李成林, 宋西成. 加速康复外科理念在慢性鼻-鼻窦炎伴鼻息肉手术治疗中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 9-12.
[2] 张汝祥,田昊,马有祥. 鼻内镜鼻窦手术前筛窦颅底高度的CT评估价值[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 75-77.
[3] 王驰,刘星,孔磊,洪兴和,宁博. 鼻内镜下等离子射频消融术对合并鼻窦炎的小儿腺样体肥大患者疗效及鼻腔黏膜纤毛清除功能的影响[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 78-81.
[4] 吴喜福, 孔维封, 王玮豪, 徐惠清, 戚敏, 杨钦泰. QoR-15在加速康复外科改善慢性鼻-鼻窦炎伴鼻息肉围手术期生活质量评估中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 5-8.
[5] 乔叔芬,杨飞轮,王臻妮,李学忠. YKL-40与慢性鼻-鼻窦炎组织重构的相关性探讨[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 95-99.
[6] 黄远,巴罗,李波,余文兴,杨芳丽,杜进涛. 慢性鼻窦炎鼻息肉中转录因子NKX2-1调控嗜酸性炎症反应的作用[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 17-23.
[7] 陈望兴,赵雪,刘岩,刘悦,金春顺. 鼻中隔偏曲及慢性鼻窦炎鼻息肉患者的精神心理状态调查[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 24-27.
[8] 黄凯丰. 糖皮质激素短疗程雾化吸入对嗜酸粒细胞性鼻窦炎伴鼻息肉患者鼻部症状及肾上腺皮质功能的影响[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 28-31.
[9] 李华斌, 赖玉婷. 慢性鼻-鼻窦炎的发病机制及诊疗进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 4-9.
[10] 张桂敏,林鹏. 慢性鼻-鼻窦炎的内在型:从基础到临床[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 14-17.
[11] 娄鸿飞,王成硕. 慢性鼻窦炎分型研究进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 10-13.
[12] 张炜,曾昱菡,余先崧. 慢性鼻窦炎手术前后ECP、EGF、IL-6的水平变化及临床意义[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 63-67.
[13] 于倩倩,关鸽,张念凯,李娜,温君凤,刘婷婷,连媛媛. 鼻腔嗅裂区呼吸道上皮腺瘤样错构瘤的CT影像表现[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 76-81.
[14] 李莹. 慢性鼻窦炎的辨证论治[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 27-30.
[15] 李宏梅,王兰,高照慧,王莹,薛金梅. p-ERK2及ERK2在鼻息肉组织的表达及其意义[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 42-46.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!