«上一篇/Previous Article|本期目录/Table of Contents|下一篇/Next Article»

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2022年6期

页码:

32-36

栏目:

出版日期:

2022-06-10

文章信息/Info

Title:

Efficacy of Functional Endoscopic Sinus Surgery Combined with Individualized Nasal Septum Decompression and Correction in Patients with Chronic Rhinosinusitis and Nasal Septum Deviation

文章编号:

1008-6455（2022）06-0032-04

作者:

潘 奇

(淮南朝阳医院耳鼻咽喉科 安徽 淮南 232000 )

Author(s):

PAN Qi

(Department of Otorhinolaryngology,Huainan Chaoyang Hospital,Huainan 232000,Anhui,China)

关键词:

功能性鼻内镜手术; 鼻中隔个性化减张矫正术; 慢性鼻-鼻窦炎; 鼻中隔偏曲; 临床症状; 美学效果

Keywords:

functional endoscopic sinus surgery;  individualized nasal septum decompression and correction;  chronic

分类号:

R622

文献标志码:

A

摘要:

目的：探究慢性鼻-鼻窦炎并鼻中隔偏曲患者应用功能性鼻内镜手术联合鼻中隔个性化减张矫正术的临床疗效及美学效果。方法：对2016年1月-2021年1月笔者医院收治100例慢性鼻-鼻窦炎并鼻中隔偏曲患者相关资料进行回顾性分析，依据手术术式将患者分为对照组（n=48）和研究组（n=52），患者均接受功能性鼻内镜手术，对照组接受常规鼻中隔矫正术，研究组接受鼻中隔个性化减张矫正术。比较两组围手术期相关指标，手术前后症状评分，手术前后美容评分，治疗效果，术后并发症发生率与复发率。结果：研究组患者术中出血量、手术时间、住院时间、鼻黏膜恢复时间以及鼻腔通气时间显著低于对照组（P＜0.05）；两组患者术后症状评分较手术前下降（P＜0.05），研究组患者术后症状评分明显低于对照组（P＜0.05）；两组手术后鼻外形偏曲程度、患者满意度评分较手术前显著改善（P＜0.05），研究组手术后鼻外形偏曲程度低于对照组，患者满意度评分高于对照组（P＜0.05）；研究组治疗总有效率显著高于对照组（94.23% vs 77.08%；P＜0.05）；研究组术后并发症发生率与复发率均明显低于对照组（3.85% vs 18.75%，1.92% vs 16.67%；P＜0.05）。结论：慢性鼻-鼻窦炎并鼻中隔偏曲患者应用功能性鼻内镜手术联合鼻中隔个性化减张矫正术可以显著改善患者临床症状，治疗效果以及美学效果优异。

Abstract:

Objective This research aims to explore the clinical eff ect and aesthetic eff ect of functional endoscopic sinus surgery combined with individualized nasal septum decompression and correction in the treatment of patients with chronic rhinosinusitis?span style="font-family: tahoma, arial, helvetica, sans-serif;">and nasal septum deviation. Methods A retrospective analysis was performed on the relevant data of 100 patients with chronic?/span>rhinosinusitis and nasal septum deviation admitted to the hospital between January 2016 and January 2021. The patientsenrolled were divided into control group (n=48) and study group (n=52) according to the surgical method. All were treated withunctional endoscopic sinus surgery. Patients in the control group were treated with conventional nasal septum correction, whilepatients in the study group were treated with individualized nasal septum decompression and correction. Perioperative relatedindicators, symptom scores and cosmetic scores before and after surgery, therapeutic eff ects, postoperative complications andrecurrence rate were compared between the two groups. Results The amount of intraoperative blood loss, operation time, lengthof hospital stay, nasal mucosa recovery time, and nasal ventilation time of study group were signifi cantly shorter than those ofthe control group (P＜0.05). After surgery, symptom scores of the two groups were reduced (P＜0.05), and the study grouphad significantly lower scores than the control group (P＜0.05). After surgery, the degree of nasal deviation andpatient’s satisfaction scores of the two groups were significantly improved (P＜0.05). Meanwhile, nasal deviationin the study group was milder than that in the control group, and the patient’s satisfaction score was higher than that of thecontrol group (P＜0.05). The total response rate in study group was significantly higher than that in the control group (94.23%vs 77.08%, P＜0.05). The incidence of postoperative complications and recurrence rates in study group were significantly?/span>lower than those in the control group (3.85% vs 18.75%, 1.92% vs 16.67%, P＜0.05). Conclusion Functional endoscopic sinus?/span>surgery combined with individualized nasal septum decompression and correction can signifi cantly improve clinical symptoms?/span>in patients with chronic rhinosinusitis and nasal septum deviation, with excellent therapeutic effects and aesthetic effects.

常用功能

更新日期/Last Update: 2022-06-28