周亚权 张新三

[摘要] 目的 研究难治性鼻-鼻窦炎联合接受鼻内镜修正性手术与中鼻甲切除治疗的临床效果。方法 方便选取该院2014年1月—2018年12月收治的共68例难治性鼻-鼻窦炎患者为研究对象，按照随机数字表法分为两组，对照组接受内窥镜鼻窦术治疗，观察组接受鼻内镜修正性手术联合中鼻甲切除治疗，比较两组效果。结果 观察组术后3、6个月症状积分低于对照组（P<0.05），观察组总有效率为91.18%，术后并发症率为5.88%，术后6个月复发率为2.94%，均优于对照组70.59%、23.53%、17.65%（χ2=4.660、4.221、3.981，P<0.05）。结论 鼻内镜修正性手术联合中鼻甲切除治疗难治性鼻-鼻窦炎能够更明显缓解症状，且有助于减少术后并发症及复发率。

[关键词] 难治性鼻-鼻窦炎;鼻内镜修正性手术;中鼻甲切除;治疗

[中图分类号] R765          [文献标识码] A          [文章编号] 1674-0742（2020）06（a）-0052-03

Explore the Clinical Value of Endoscopic Sinus Surgery Combined with Middle Turbinate Resection for Refractory Rhinosinusitis

ZHOU Ya-quan， ZHANG Xin-san

Department of Otorhinolaryngology， Rugao Boai Hospital， Rugao， Jiangsu Province， 226500 China

[Abstract] Objective To study the clinical effect of refractory rhino-sinusitis combined with endoscopic revision surgery and middle turbinate resection. Methods Convenient selection of 68 patients with refractory rhinosinusitis admitted from January 2014 to December 2018 in the hospital were divided into two groups according to the random number table method. The control group received endoscopic sinus surgery and the observation group. After receiving nasal endoscopic revision surgery combined with middle turbinate resection， the effects of the two groups were compared. Results Symptom scores in the observation group at 3 and 6 months after operation were lower than those in the control group （P<0.05）. The total effective rate in the observation group was 91.18%， the postoperative complications rate was 5.88%， and the recurrence rate at 6 months was 2.94%， Were better than the control group 70.59%， 23.53%， 17.65% （χ2=4.660， 4.221， 3.981， P<0.05）. Conclusion Nasal endoscopic revision surgery combined with middle turbinate resection for refractory rhinosinusitis can significantly alleviate symptoms and help reduce postoperative complications and recurrence rates.

[Key words] Refractory rhino-sinusitis; Nasal endoscopic revision surgery; Middle turbinate resection; Treatment

鼻-鼻竇炎是多发的一类耳鼻喉疾病，是发生在鼻窦黏膜以及鼻腔的一类慢性炎症，为环境等不同因素作用后形成的结果[1]。鼻-鼻窦炎患者全身性因素、局部性因素持续存在，所以在接受药物治疗或者手术治疗后，仍有明显面部胀痛、脓涕、闭塞或者嗅觉障碍等表现，该类患者被视作难治性鼻-鼻窦炎患者[2]。难治性鼻-鼻窦炎患者接受CT检查能够观察到鼻窦内有多种慢性炎性改变，迁延不愈，具体如息肉、黏液脓性分泌物、黏膜水肿、囊泡等[3]。难治性鼻-鼻窦炎会使患者需要较重的身心负担，生活质量会受到严重影响，所以做好该类患者有效的治疗非常重要。该研究以该院2014年1月—2018年12月收治的68例难治性鼻-鼻窦炎患者为对象，具体分析鼻内镜修正性手术联合中鼻甲切除在治疗中的应用价值，现报道如下。

1  资料与方法

1.1  一般资料

方便选取该院收治的共68例难治性鼻-鼻窦炎患者为研究对象，按照随机数字表法分为两组，观察组34例，男20例以及女14例;年龄：33～73岁，年龄平均（50.28±13.64）岁。……