0度镜引导下改良鼻丘入路额窦开放术治疗额窦疾病临床疗效

目的:探讨0度镜引导下经改良鼻丘入路额窦开放术治疗额窦疾病的效果。方法:将110例额窦炎患者按照随机数字表法分为观察组和对照组,各55例,对照组患者接受常规入路额窦开放术,观察组患者接受0度镜引导下经改良鼻丘入路额窦开放术,比较2组患者的手术情况、应激反应、近期和远期疗效。结果:观察组患者的手术时间和术中出血量均明显少于对照组(P<0.01);术中肾上腺素、去甲肾上腺素、血管紧张素Ⅱ水平均明显低于对照组(P<0.01);观察组患者近期疗效优于对照组(P<0.05),复发率低于对照组(P<0.05),而生活质量评分明显高于对照组(P<0.01)。结论:0度镜引导下经改良鼻丘入路额窦开放术有助于减小手术创伤,促进术后恢复,缓解应激反应,提高疗效。

Clinical effect of the improved frontal sinus surgery under the nose hill guided by 0 degree mirror in the treatment of frontal sinus disease

Objective:To investigate the clinical effects of the improved frontal sinus surgery under the nose hill guided by 0 degree mirror in the treatment of frontal sinus disease. Methods:One hundred and ten patients with frontal sinusitis were randomly divided into the observation group and control group ( 55 cases each group ) . The observation group were treated with the improved frontal sinus surgery under the nose hill guided by 0 degree mirror,the control group were treated with the conventional frontal sinus surgery. The operation condition,stress response,and short-term and long-term effects in two groups were compared. Results:The operation time and bleeding volume in observation group were less than those in control group(P<0. 01),the levels of epinephrine,norepinephrine and angiotensin Ⅱ in observation group were significantly lower than those in control group(P<0. 01). The short-term treatment effects and recurrence rate in observation group were significantly better and less than those in control group,respectively(P<0. 05). The score of life quality in observation group was significantly higher than that in control group(P<0. 01). Conclusions:The improved frontal sinus surgery under the nose hill guided by 0 degree mirror can reduce operation wound, promote postoperative recovery, relieve stress response and improve treatment effect.