鼻内镜术中不同中鼻甲处理方式治疗慢性鼻-鼻窦炎伴鼻息肉效果比较

doi:10.6040/j.issn.1673-3770.0.2018.447

Abstract

Abstract: Objective

To explore the clinical effects of different middle turbinate treatments on on chronic rhinosinusitis with nasal polyps (CRSwNP) during endoscopic sinusitis.

Methods

115 patients with CRSwNP were selected and treated with endoscopic sinus surgery, the patients were divided into study group (n=60, Middle conchoplasty) and control group (n=55, excision) according to the treatment of middle turbinate during operation, after operation they had follow-up for 3 months, the improvement of clinical symptoms, the changes of nasal function and olfactory function before and after operation of the 2 groups were compared, and the assessment of the Lund-Mackay and SNOT-20 scales was carried out.

Results

Compared with the preoperative group, the scores of dizziness, cough, nasal obstruction and purulent discharge in the 2 groups were lower, and the scores of dizziness, cough and purulent discharge in the study group were lower than those in the control group (t=12.979、13.298、9.216；P<0.001); 3 months after operation, the airway resistance, DCAN and olfactory function scores of the 2 groups decreased, and the nasal function indexes of the study group were lower than those of the control group (t=14.999, 3.611, 3.798;P<0.001); the nasal function indexes of the 2 groups increased, and the study group was higher than the control group (t=2.216, 11.379; P<0.001); Lund-Kennedy score and SNOT-20 score of the 2 groups decreased 3 months after operation, and that of the study group was lower than that of the control group (t=17.025,11.822; P<0.001).

Conclusion

The application of middle turbinate in endoscopic sinusitis. for CRSwNP patients is more effective, which can promote the recovery of nasal function and olfactory function and improve the quality of life of the patients.

Key words: Rhinosinusitis, Nasal polyps, Endoscopic surgical procedures, operative, Middle conchoplasty, Treatment outcome

CLC Number:

R765.41

Guohui CHEN,Shouhuan HE,Qing SUN,Tianle GAO,Guangping BAI. Clinical effects of different middle turbinate treatments on chronic rhinosinusitis with nasal polyps during endoscopic sinusitis[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 82-86.

Figures/Tables 3

Table 1

Table 2

Tab.3

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组别	n	头晕	咳嗽	鼻塞	流脓涕
对照组	55
术前		2.16±0.36	4.26±1.21	5.56±1.36	5.29±1.36
术后1个月		0.78±0.16^Δ	1.36±0.25^Δ	1.68±0.34^Δ	1.54±0.34^Δ
观察组	60
术前		2.21±0.42	4.33±1.25	5.68±1.42	5.36±1.42
术后1个月		0.45±0.11^Δa	0.88±0.12^Δa	1.59±0.22^Δ	1.03±0.25^Δa

组别	n	鼻腔功能				嗅觉功能(分)
组别	n	气道阻力[kPa/(s·L)]	DCAN(cm)	NMCA(cm²)	NCV(cm³)	嗅觉功能(分)
对照组	55
术前		2.96±0.36	1.86±0.26	0.45±0.06	11.63±1.21	4.85±0.45
术后3个月		0.78±0.15^Δ	1.77±0.20^Δ	0.51±0.11^Δ	14.26±1.93^Δ	0.99±0.25^Δ
观察组	60
术前		2.89±0.41	1.82±0.31	0.48±0.05	11.86±1.52	4.92±0.41
术后3个月		0.36±0.15^Δa	1.66±0.12^Δa	0.56±0.13^Δa	18.92±2.41^Δa	0.82±0.23^Δa

组别	n	Lund-Kennedy评分	SNOT-20评分
对照组	55
术前		5.22±0.78	20.45±2.96
术后3个月		3.65±0.48^Δ	13.48±1.85^Δ
观察组	60
术前		5.13±0.69	21.26±2.45
术后3个月		2.31±0.36^Δa	10.14±1.12^Δa

Clinical effects of different middle turbinate treatments on chronic rhinosinusitis with nasal polyps during endoscopic sinusitis

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