VAS评分对鼻咽癌放疗后慢性鼻-鼻窦炎治疗方案选择的价值

目的 探讨VAS评分对鼻咽癌放疗后慢性鼻-鼻窦炎治疗方案选择的价值。方法 98例鼻咽癌放疗后慢性鼻-鼻窦炎患者被分成3组，分别经保守治疗(组1)、经上颌窦自然口扩大(组2)及联合下鼻道开窗(组3)为特征的鼻内镜手术治疗，分析这些患者治疗前后视觉模拟量表(VAS)评分的特点。结果 保守治疗前后仅黏脓性鼻涕VAS评分有统计学意义，手术治疗黏脓性鼻涕和面部胀痛VAS评分差异有统计学意义，联合下鼻道开窗组优于单纯上颌自然口扩大组。结论 对于黏脓性鼻涕、面部胀痛这两项VAS评分较高的患者宜选择以上颌窦自然口扩大联合下鼻道开窗术为主的综合治疗方案。

Visual analogue score on treatment choice for nasopharyngeal carcinoma patients with post-radiotherapy chronic rhino-sinusitis

Objective To investigate the value of visual analogue score(VAS) on nasopharyngeal carcinoma patients with post-radiotherapy chronic rhino-sinusitis (post-RT-CRS) by treatment choice. Methods 98 patients were divide into three groups: the expectant treatment(group 1), the maxillary natural ostium enlargement (group 2) and the combined fenestration operation(group 3) under nasal endoscopy groups. The VAS before and after treatment was analyzed. Result Only the VAS of purulent secretion was statistical difference in group 1,but the VAS of purulent secretion and facial gas pains were statistical difference in group 2 and 3 and the curative effect of group 3 was better than that of group 2. Conclusion Maxillary natural ostium enlargement in combination with fenestration operation by nasal endoscopy is suitable for post-RT-CRS patients with high VAS at purulent secretion and facial gas pains.