吴蔚

[摘要] 目的 探讨鼻内镜手术治疗慢性鼻窦炎的临床效果。 方法 将本院2010年3月~2013年3月收治的110例慢性鼻窦炎患者分为对照组和观察组，每组各55例，对照组给予传统的鼻外径路手术治疗，观察组给予鼻内镜手术治疗，比较两组患者的临床疗效和并发症发生情况。 结果 对照组患者的总有效率为87.3%，明显低于观察组的94.5%，两组比较，差异有统计学意义（P＜0.05）。对照组患者的总并发症发生率为5.45%，明显低于观察组的14.54%，两组比较，差异有统计学意义（P＜0.05）。 结论 鼻内镜治疗慢性鼻窦炎的临床效果显著，并发症发生率低。

[关键词] 鼻内镜手术；慢性鼻窦炎；临床效果

[中图分类号] R765   [文献标识码] B   [文章编号] 2095-0616（2014）08-167-03

Clinical research of nasal endoscopic surgery for chronic sinusitis

WU Wei

Department of Otorhinolaryngology, People's Hospital of Zhengzhou City, Zhengzhou 450000, China

[Abstract] Objective To explore the clinical effect of nasal endoscopic surgery for chronic sinusitis. Methods 110 patients with chronic sinusitis were admitted in our hospital from March 2010 to March 2013, they were divided into control group and observation group, each group of 55 cases, the control group was given nasal outer diameter of the traditional road surgery treatment, the observation group was given nasal endoscopic surgery treatment, the clinical efficacy and complications of two groups were compared. Results The total effective rate in control group of 87.3% was significantly less than that of the observation group (94.5%), compared between the two groups, the difference was statistically significant (P＜0.05). The total complication rate in control group was 5.45%, it was significantly less than 14.54% of the observation group, the compared between the two groups, the difference was statistically significant(P＜0.05). Conclusion The clinical effect of nasal endoscopy for the treatment of chronic sinusitis is better, and it has low complication rates.

[Key words] Nasal endoscopic surgery; Chronic sinusitis; Clinical effect

慢性鼻窦炎（chornic sinusitis）为鼻窦的慢性化脓性炎症。较急性鼻窦炎者多见，常同时累及多个鼻窦[1]。慢性鼻窦炎加重患者的呼吸道感染症状，影响病患的生活质量，严重者可引发其他严重的并发症，导致患者视力的改变，感染加重甚至可引起死亡[2]。其治疗主要有药物治疗和手术治疗，多数慢性鼻窦炎患者可以治愈，但是少数伴哮喘、过敏、阿司匹林不耐受等特异体质的患者，疾病常常反复发作。本研究回顾性分析本院2010年3月~2013年10月收治的110例慢性鼻窦炎患者的临床资料，以探讨鼻内镜手术治疗慢性鼻窦炎的临床效果，现在总结报道如下。

1 对象与方法

1.1 研究对象

所选研究对象为本院2010年3月~2013年3月收治的110例（110侧）慢性鼻窦炎患者，其中男64例，女46例，年龄15~67岁，平均（38.2±2.1）岁，临床表现：鼻塞102例、头痛32例、流脓涕96例；……