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1、鼻内镜手术治疗鼻息肉及慢性鼻窦炎的临床疗效观察［摘要］目的探讨鼻内镜手术治疗鼻息肉及慢性鼻窦炎的临床疗效。方法回顾性分析2012年1月〜2013年1月在我院行手术治疗的鼻息肉及慢性鼻窦炎患者100例的临床资料，根据治疗方法不同随机分为A组和B组各50例，A组采用鼻内镜手术：B组采用传统手术：比较A组与B组术后总有效率及术后并发症，包括术后出血、发热、鼻腔粘连、上颌窦口狭窄或闭锁。结果A组与B组术后总有效率分别为92.0%,70.0%,两组总有效率组间比较，差异具有统计学意义(x2=5.273,卩〈0.05),A组无一例发生术后出血、感染，而B组均出现
2、出血、发热、鼻腔粘连、上颌窦口狭窄或闭锁，两组并发症发生率分别为6.7%、30.0%,组间比较差异有统计学意义(x2=9.238,P<0.05)o结论鼻内镜手术治疗鼻息肉及慢性鼻窦炎疗效确切，易于操作，具有微创、安全性好、并发症少，适合广大基层单位广泛推广和应用。［关键词］鼻息肉及慢性鼻窦炎；鼻内镜手术；疗效；并发症［中图分类号］R765.9［文献标识码］B［文章编号］2095-0616(2013)22-163-03Observationonclinicalefficacyofendoscopicsurgeryinthetreatmentofnasa
3、lpolypsandchronicsinusitisXIAZengchanLIUFeiqiuJIAOIluijunXUWeiCIIENYuDepartmentofENT,GuangzhouMilitaryRegionAirForceLogisticsClinic,Guangzhou520052,China[Abstract]ObjectiveToinvestigatetheclinicalefficacyofendoscopicsurgeryinthetreatmentofnasalpolypsandchronicsinusitis.MethodsT
4、heclinicaldataof100caseswithnasalpolypsandchronicsinusitisunderwentsurgicaltreatmentfromJanuary2012toJanuary2013inourhospitaiwereretrospectivelyanalyzed.AllpatientswererandomlydividedintothegroupAandthegroupBaccordingtothedifferenttreatment,methods,eachgrouphad50cases,thepatien
5、tsinthegroupAweretreatedwithendoscopicsurgery,whilethepatientsinthegroupBweretreatedwithconventionalsurgery.Thetotaleffectiverateandpostoperativecomplications,includingpostoperativebleeding,fever,nasaladhesions,maxillarysinusstenosisoratresia,werecomparedbetweenthegroupAandtheg
6、roupResuItsThetotaleffectiverateofthegroupAandthegroupBwere92.0%,70.0%respectively,thedifferencewassignificantinthetotaleffectiveratebetweenthetwogroups(x2=5.273,P〈0・05)；NoacaseinthegroupAhappenedpostoperativebleedingandinfection,whileallpatientsinthegroup13happenedbleeding,fev
7、er,nasaladhesions,maxi1larysinusstenosisoratresia,theincidenceofcomplicationofthetwogroupswere6.7%,30.0%respectively,thedifferencewassignificantbetweenthetwogroups(x2二9.238,卩<0.05)•ConclusionEndoscopicsurgeryinthetreatmentofnasalpolypsandchronicsinusitishasbetterefficacy,andise
8、asytooperate,alsohasminimallyinvasive,goodsafetyfewerc
