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目的:探讨鼻内镜手术治疗慢性鼻窦炎、鼻息肉及对应传统治疗手段的临床疗效比较。方法:选取160例患者进行病历资料分析,随机分为两组:传统治疗组Ⅰ组(采用药物、微波、激光等传统治疗方法)80例和观察组Ⅱ组(采用内窥镜鼻窦手术治疗)80例。结果:传统治疗组Ⅰ组:药物治愈Ⅰ型总有效率为60.7%,微波治愈Ⅱ型总有效率为55.6%,激光治愈Ⅲ型总有效率为62.5%。观察组Ⅱ组:进行鼻内镜手术治愈率Ⅰ型96.4%、Ⅱ型91.9%、Ⅲ型86.7%。观察组Ⅱ组与传统治疗组Ⅰ组比较,差异均具有统计学意义(P<0.05)。结论:鼻内窥镜是治疗慢性鼻窦炎、鼻息肉的有效手段,观察组Ⅱ组与传统治疗组Ⅰ组比较有明显疗效差别,进行鼻内镜手术治疗鼻炎可减少患者痛苦,提高手术治愈率。
Objective: To investigate the clinical efficacy of endoscopic sinus surgery in the treatment of chronic sinusitis and nasal polyps and its corresponding traditional treatment. Methods: A total of 160 patients were selected for medical records analysis and randomly divided into two groups: 80 cases in the traditional treatment group Ⅰ (treatment with medicine, microwave, laser and other traditional methods) and Ⅱ in the observation group (endoscopic sinus surgery) 80 cases. Results: In the traditional treatment group Ⅰ, the total effective rate of cure Ⅰ was 60.7%, the total effective rate of microwave Ⅱ was 55.6%, and the total effective rate of laser cure Ⅲ was 62.5%. In observation group Ⅱ, the cure rate of endoscopic sinus surgery was 96.4% of type Ⅰ, 91.9% of type Ⅱ and 86.7% of type Ⅲ. The difference between the observation group Ⅱ group and the traditional treatment group Ⅰ group was statistically significant (P <0.05). Conclusion: Nasal endoscopy is an effective method for the treatment of chronic sinusitis and nasal polyps. The difference between the observation group Ⅱ and the traditional treatment group Ⅰ is obvious. The treatment of rhinitis by endoscopic sinus surgery can reduce the pain and improve the cure rate .