鼻内镜手术治疗真菌球型鼻窦病变的效果
Effect of Endoscopic Sinus Surgery on Paranasal Sinus Fungus Balls
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摘要: 目的 研究对真菌球型鼻窦病变患者进行治疗时使用经鼻内镜手术治疗后的效果.方法 收集真菌球型鼻窦病变患者共182例,将患者根据随机、单盲、平行对照设计原则分为对照组(90例)和观察组(92例),对照组患者接受常规手术治疗,观察组患者接受经鼻内镜手术治疗,将2组患者的治疗有效率、病变范围各窦腔评分、平均手术时间、术后并发症发生率进行观察和对比.结果 观察组的治疗有效率为94.6%,明显高于对照组的80.0%,观察组病变范围各窦腔评分为0分,显著低于对照组的(13.1±1.9)分,观察组的平均手术时间为(45.4±10.9)min,显著短于对照组的(76.3±10.5)min,观察组的术后并发症发生率为3.2%,显著低于对照组的25.6%,P<0.05.结论 在真菌球型鼻窦病变患者的治疗过程中,经鼻内镜手术治疗有效清除霉菌病变,迅速缓解患者的痛苦,且并发症少,手术安全可靠,值得推广应用.Abstract: Objective To study and observe the effect of transnasal endoscopic surgery in the treatment of patients with fungal paranasal sinusitis.Methods A total of 82 cases of patients with fungal paranasal sinusitis were collected and divided into the control group(40 cases) and the observation group(40 cases) according to the principles of random, single blind and parallel control design, the patients in the control group received conventional surgical treatment,and the patients in the observation group received transnasal endoscopic surgical treatment,the two groups were observed and compared in terms of treatment efficiency,sinus cavity scores in the lesion range,average operation time,postoperative complication rate and patients' satisfaction degree.Results The effective rate in treatment group was 94.6%,significantly higher than that of control group(80.0%);the lesions sinus cavity score was 0 points in observation group,significantly lower than the control group(13.1±1.9),the average operation time was(45.4±10.9) min in the observation group,significantly shorter in the control group(76.3 ±10.5) min; the postoperative complication rate was 3.2% in the observation group, which was significantly lower than that of 25.6% in the control group(P<0.05).Conclusion The transnasal endoscopic surgery in the treatment of patients with fungal paranasal sinusitis can effectively improve the treatment efficiency,remove the mold lesions in the sinuses of patients, shorten the operation time and reduce the postoperative complication rate,and is conducive to promoting the rehabilitation of patients and improving the quality of life of patients,thus it is worth popularization and application.
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