慢性鼻-鼻窦炎鼻内镜鼻窦手术前后黏膜形态变化及相关性分析

    Nasal mucosa morphology change of chronic rhinosinusitis before and after operation and its correlation analysis

    • 摘要: 目的:探讨慢性鼻-鼻窦炎(CRS)患者经鼻内镜鼻窦手术后黏膜形态的变化及相关性.方法:选择60例CRS患者设为观察组,选择同期健康体检者30名设为对照组.观察组按患者临床症状以及病理类型分为感染组及变应组各30例.观察组患者均行常规Messerklinger术式鼻内镜鼻窦手术,观察感染组及变应组患者的术后疗效及鼻黏膜形态变化情况,分析影响鼻黏膜恢复的相关性因素.结果:感染组患者术后治疗有效率达96.67%,明显高于变应组63.33%(P < 0.01).手术前感染组和变应组黏膜形态差异均无统计学意义(P > 0.05).手术后感染组黏膜形态均优于变应组(P < 0.05~P < 0.01).结论:CRS患者经鼻内镜鼻窦手术后黏膜形态改善显著,其恢复情况和病理类型有一定关联.

       

      Abstract: Objective:To explore the nasal mucosal morphology changes of chronic rhinosinusitis after operation and its correlation.Methods:Sixty patients with chronic rhinosinusitis and 30 healthy examination people were divided into the observation group and control group, respectively.The observation group were subdivided into the infection group and allergy group according to the clinical symptoms and pathological types.The observation group were treated with conventional Messerklinger endoscopic sinus surgery.The postoperative curative effects and nasal mucosa morphology in observation group were observed, and the correlative factors of influencing nasal mucosa recovery were analyzed.Results:The treatment effective rate in infection group(96.67%) was significantly higher than that in allergy group(63.33%)(P<0.01).The difference of nasal mucosa morphology between the infection group and allergy group before treatment was not statistically significant(P>0.05), the nasal mucosa morphology in infection group after treatment was better than that in allergy group(P<0.05 to P<0.01).Conclusions:The nasal mucosal morphology after endoscopic sinus surgery improves significantly, and its recovery is correlated to the pathological type.

       

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