鼻内镜下鼻窦炎手术中实施中鼻甲外侧壁切除的临床观察

目的 探讨中鼻甲外侧壁切除对鼻内镜下鼻窦炎手术的疗效影响.方法 选取鼻窦炎患者100例,按随机数字表法分为观察组和对照组各50例,对照组实施鼻内镜下鼻窦炎手术治疗,而观察组在鼻内镜下鼻窦炎手术基础上实施中鼻甲外侧壁切除治疗,观察比较两组临床疗效、并发症发生率及复发率.结果 观察组总有效率为94.0％,对照组总有效率为90.0％,两组差异无统计学意义（Х^2=0.36,P＞0.05）.观察组术后并发症发生率为6.0％,低于对照组的16.0％（Х^2 =7.36,P＜0.05）;观察组复发率为6.0％,低于对照组的18.0％（Х^2=8.19,P＜0.05）.观察组住院时间为（6.3±2.1）d和局部冲洗次数为（1.3±0.4）次,低于对照组的（8.4±2.5）d、（4.2±1.2）次（t=11.301、7.024,均P＜0.05）.结论 鼻窦炎患者在接受鼻内镜下鼻窦炎手术的同时可以实施中鼻甲外侧壁切除治疗,不仅具有较好的临床疗效,且对患者鼻腔解剖结构也无破坏作用,能够有效地保证中鼻道的宽大,降低术后黏连的发生,值得在临床中应用.

Clinical observation of the lateral wall of the middle turbinate resection in endoscopic sinus surgery

Objective To investigate the effects of lateral wall of the middle turbinate resection on the efficacy of endoscopic sinus surgery.Methods 100 patients with sinusitis were randomly divided into the study group and the control group,50 cases in each group.The control group received nasal endoscopic sinus surgery,while patients in the study group received endoscopic sinus surgery based on the implementation of the middle turbinate resection of the lateral wall.The clinical effect was observed and compared.Results The total effective rate of the study group was 94.0%,that of the control group was 90.0%,the difference between the two groups was not significant（Х^2 =0.36,P 〉 0.05）.The incidence rate of postoperative complications of the study group was 6.0%,which was significantly lower than 16.0% of the control group （Х^2 =7.36,P 〈 0.05）.The recurrence rate of the study group was 6.0%,which was significantly lower than 18.0% in the control group （Х^2 =8.19,P 〈 0.05）.The hospitalization time and local irrigation frequency in the study group were significantly lower than those of the control group （t =11.301,7：024,all P 〈 0.05）.Conclusion For clinical sinusitis patients undergoing endoscopic sinus surgery,the lateral wall of the middle turbinate resection can be implemented,it not only has better clinical efficacy and the patients＇ nasal anatomy has no destruction,but also can effectively guarantee the wide nasal passages,reduce postoperative adhesions,which worthy of clinical application.