焦晓明

[摘要]目的 探討鼻内镜治疗鼻窦炎伴鼻息肉的临床效果。方法 选取2017年10月～2019年6月我院收治的88例鼻窦炎伴鼻息肉患者作为研究对象，根据患者意愿分为对照组（44例）与观察组（44例）。对照组患者采用常规手术治疗，观察组患者采用鼻内镜治疗。比较两组的临床效果、手术时间、术中出血量、术后住院时间、视觉模拟量表（VAS）评分、各项临床症状评分及并发症发生情况。结果 观察组患者的临床治疗总有效率为95.45%，高于对照组的79.55%，差异有统计学意义（P<0.05）;观察组患者的手术时间、术后住院时间均短于对照组，术中出血量少于对照组，VAS评分低于对照组，差异有统计学意义（P<0.05）;观察组患者的面部疼痛、嗅觉障碍、鼻塞、鼻内分泌物、头晕头痛等症状评分均低于对照组，差异有统计学意义（P<0.05）;观察组患者的并发症总发生率为4.55%，低于对照组的18.18%，差异有统计学意义（P<0.05）。结论 鼻窦炎伴鼻息肉患者接受鼻内镜治疗，能够有效改善患者的鼻腔症状，提高治疗效率，且手术创伤小，术后并发症少，值得推广应用。

[关键词]鼻内镜;鼻窦炎;鼻息肉;临床效果

[中图分类号] R765.2          [文献标识码] A          [文章编号] 1674-4721（2020）5（a）-0104-03

Clinical effect of nasal endoscopy in the treatment of sinusitis with nasal polyps

JIAO Xiao-ming

Department of Ophthalmology and Otorhinolaryngology， Liaoning Provincial Health Industry Group Iron and Coal General Hospital， Diaobingshan   112799， China

[Abstract] Objective To explore the clinical effect of nasal endoscopy in the treatment of sinusitis with nasal polyps. Methods Eighty-eight patients with sinusitis and nasal polyps treated in our hospital from October 2017 to June 2019 were selected as the subjects. They were divided into control group （44 cases） and observation group （44 cases） according to their wishes. The patients in the control group were treated by routine operation， and the patients in the observation group were treated by nasal endoscopy. The clinical effect， operation time， intraoperative blood loss， postoperative hospital stay， visual analogue scale （VAS） score， clinical symptom scores， and complications were compared between the two groups. Results The total effective rate of clinical treatment in the observation group was 95.45%， which was higher than that in the control group （79.55%）， the difference was statistically significant （P<0.05）. The operation time and postoperative hospital stay in the observation group were shorter than the control group， the intraoperative blood loss was less than that in the control group， and VAS score was lower than that in the control group， and the differences were statistically significant （P<0.05）. The scores of facial pain， olfactory disturbance， nasal obstruction， nasal secretion， dizziness and headache in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. The total incidence of complications in the observation group was 4.55%， which was lower than that in the control group （18.18%）， the difference was statistically significant （P<0.05）. Conclusion The treatment of nasosinusitis with nasal polyp by nasal endoscopy can effectively improve the symptoms of the nasal cavity， improve the treatment efficiency， and the surgical trauma is small， and the postoperative complications are few， so it is worth popularizing and applying.

[Key words] Nasal endoscopy; Sinusitis; Nasal polyps; Clinical effect

鼻窦炎伴鼻息肉是耳鼻喉科中的常见疾病，此病的产生多与鼻腔、鼻窦、鼻腔外侧壁的解剖变异、病理改变有关[1]。鼻窦炎伴鼻息肉患者在发病后会出现流涕、鼻塞、嗅觉衰退、头痛头晕、鼻出血等多种症状，严重影响着患者的正常生活以及工作。临床上治疗鼻窦炎伴鼻息肉的方式主要为保守治疗和手术治疗，目前我国多对患者实施手术治疗，将患者的病变部位切除，改善患者的病情。但是传统的手术治疗创伤性较大，对患者术后的康复造成较大负面影响[2]。近年来，国内外的手术治疗方法不断改进，微创手术在临床上逐渐推广应用，这对提高疾病治疗效果具有重要作用[3]。本研究选取我院收治的88例鼻窦炎伴鼻息肉患者作为研究对象，旨在探讨鼻内镜治疗鼻窦炎伴鼻息肉的临床效果，现报道如下。

1资料与方法

1.1一般资料

选取2017年10月～2019年6月我院收治的88例鼻窦炎伴鼻息肉患者作为研究对象，根据患者意愿分为对照组（44例）与观察组（44例）。……