山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (2): 51-54.

• 论文 • 上一篇    下一篇

20例慢性鼻-鼻窦炎鼻内镜术后随访及生活质量研究

张霞1,夏立军2   

  1. 1.山西医科大学,  太原 030001; 2. 山西医科大学第一临床医学院耳鼻咽喉-头颈外科,  太原 030001
  • 收稿日期:2011-12-08 出版日期:2012-04-16 发布日期:2012-04-16
  • 通讯作者: 夏立军,硕士生导师,教授。Email: xlj0671@126.com
  • 作者简介:张霞,硕士研究生。Email: zhangxia519613@163.com

A follow-up study of quality of life of 120 cases of chronic nasalsinusitis after endoscopic sinus surgery.

ZHANG Xia1, XIA Li-jun2   

  1. 1. Shanxi Medical University, Taiyuan 030001, China; 2. Department of Otolaryngology & Head and Neck Surgery, Shanxi Medical University, First Clinical Medical School, Taiyuan 030001, China
  • Received:2011-12-08 Online:2012-04-16 Published:2012-04-16

摘要:

目的   讨慢性鼻-鼻窦炎鼻内镜术后定期随访的临床意义及鼻内镜手术治疗对慢性鼻-鼻窦炎的症状改善情况及生活质量影响。方法   将接受鼻内镜手术治疗的120例慢性鼻-鼻窦炎患者分为慢性鼻-鼻窦炎不伴鼻息肉组和慢性鼻-鼻窦炎伴有鼻息肉组,每组均60例。   对两组患者术后进行定期随访1年,分析术后随访疗效。其次评估所有患者术前、术后1、3、6和12个月生活质量状况及主要症状改善情况, 比较主要症状和生活质量的变化。结果   不伴鼻息肉组:术后6个月痊愈36 例、好转20 例、无效4 例;12个月痊愈50例、好转7例、无效3例。伴鼻息肉组:术后6个月痊愈30例、好转27例、无效3例;12个月痊愈37例、好转20例、无效3例。两组病情转归差异有统计学意义。120例经鼻内镜手术治疗的慢性鼻-鼻窦炎患者术后第1、3、6、12个月主要症状评分呈下降趋势, 与术前相比均明显下降(P<0.01); 与术前比较,20个条目和5大条目评分均明显下降 (P均<0.01)。结论   鼻内镜术后进行定期随访换药及综合治疗是必不可少的重要环节,术后进行定期规律的随访换药及综合治疗可以显著提高手术疗效,鼻内镜手术可以使慢性鼻窦炎患者的症状和生活质量得到明显改善。

关键词: 鼻-鼻窦炎;鼻内镜外科手术;随访;生活质量

Abstract:

Objective   To investigate the clinical significance of regular follow-up of chronic nasal-sinusitis symptom improvement and quality of life impact after endoscopic sinus surgery. Methods   From December 2009 to September 2010 120 patients with sinusitis according to chronic nose-sinusitis diagnosis and treatment guidelines of the 2008 Nanchang standard were enrolled in our department and were divided into chronic nose not associated with sinusitis and chronic nasal polyps and sinusitis associated with nasal polyp groups (n=60). Two groups of patients were on regular follow-up dressing for one year. The main symptom status and quality of life improvement of all patients were evaluated before and after 1, 3, 6 and 12 months. Results   Of 60 patients without nasal polyps, at 6 months 36 cases were cured, 20 cases improved, and 4 cases were invalid. At 12 months 50 patients were cured, 7 cases improved, and 3 cases invalid. Of the nasal polyps group, at 6 months 30 cases recovered, 27 cases improved, and 3 cases were invalid. At 12 months 37 cases were cured, 20 cases improved, and 3 cases were invalid. The two groups had statistically significant differences between disease outcomes. At 1, 3, 6, and 12 months after endoscopic sinus surgery, the first major symptom scores decreased (P<0.01); Compared with the preoperative, the 20 items and 5 items scores rated from 1 month also declined (P<0.01). Conclusion    Endoscopic sinus surgery with regular follow-up dressing can significantly improve surgical outcome.

Key words: Chronic rhinosinusitis; Endoscopic sinus surgical procedures, operative; Follow-up; Quality of life

中图分类号: 

  • R765.21
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