鼻内镜术式中中、上鼻甲的处理方式对伴嗅觉障碍慢性鼻-鼻窦炎患者嗅觉功能及生命质量的影响

目的:研究鼻内镜术式中中、上鼻甲的处理方式对伴嗅觉障碍慢性鼻-鼻窦炎患者嗅觉功能及生命质量的影响.方法:选取我院2014年5月~2016年5月半嗅觉障碍慢性鼻-鼻窦炎患者84例,按患者入院顺序编号并采取随机数表法将患者分为两组各42例,一组患者行中、上鼻甲成形术设置为成形组,另一组患者行中、上鼻甲部分切除术设置为切除组,比较两组患者术后嗅觉恢复情况,比较手术前后T&T主观嗅觉功能评分及鼻腔鼻窦结局测试问卷(SNOT-20)评分.结果:成形组患者术后嗅觉改善率为90.48%,切除组为88.09%差异不显著;与术前比较,两组患者左侧、右侧嗅觉主观嗅觉功能检查评分显著较低;两组患者各项SNOT-20评分较术前显著较低.结论:行中、上鼻甲形成术和部分切除术治疗伴嗅觉障碍慢性鼻-鼻窦炎均能显著改善患者嗅觉功能,提高其术后生存质量,两种处理方式对患者嗅觉的恢复均无明显影响,适合在临床应用.

Effect of middle and superior nasal conchatreatment in nasal endoscopic surgery on olfactory function and quality of life of patients with chronic nasal-sinusitis complicated with dysosmia

Objective To study the effect of middle and superior nasal concha treatment in nasal endoscopic surgery on olfactory function and quality of life of patients with chronic nasal-sinusitis complicated with dysosmia.Methods From May 2014 to May 2016,84 patients with chronic nasal-sinusitis complicated with dysosmia were numbered according to the order of admission and were divided into two groups by the random number table method,42 cases in each group. Patients underwent middle and superior nasal conchoplasty were included into the conchoplasty group, while patients underwent partial resection of middle and superior nasal concha were included into the resection group. The postoperative olfactory recovery was compared between the two groups. The T&T subjective olfactory function scores and scores of nasal cavity andsinus outcome test ques-tionnaire (SNOT-20) were compared before and after surgery.Results After surgery, the improvement rate of olfactory in the conchoplasty group was 90.48% while in the resection group was 88.09%. The subjective olfactory function test scores of left and right olfactory function and the SNOT-20 scores were significantly lower than those before surgery.Conclusion The ap-plication of middle and superior nasal conchoplasty and partial resection in the treatment of chronic nasal-sinusitis complicated with dysosmia can significantly improve the olfactory function and the quality of life after surgery. Both of the two treatment methodshad no obvious effect on the olfactory recovery, suitable for clinical application.