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目的探讨鼻内镜手术用于鼻窦炎、鼻息肉治疗临床效果,并分析预后影响因素。方法选取某院2008年9月～2012年6月收治慢性鼻窦炎、鼻息肉患者180例,采用随机数字表法分为两组,其中对照组90例,采用包括药物、激光及微波在内等非手术治疗;鼻内镜组90例,采用鼻内镜手术治疗;比较两组患者临床治愈率及改善总有效率等。结果对照组与鼻内镜组患者临床治愈率分别为12.2%,26.7%,而临床改善总有效率分别为67.8%,91.1%;鼻内镜组患者临床治愈率及临床改善总有效率均明显优于对照组,组间比较差异有统计学意义(P﹤0.05)。结论相较于非手术治疗措施,鼻内镜手术用于鼻窦炎、鼻息肉治疗临床效果能够有效提高临床治疗效果;临床治疗效果与分型、术中操作熟练程度及术后药物应用关系密切。
Objective To investigate the clinical effects of endoscopic sinus surgery for sinusitis and nasal polyps and to analyze the prognostic factors. Methods One hundred and eighty patients with chronic sinusitis and nasal polyps who were admitted to our hospital from September 2008 to June 2012 were randomly divided into two groups (n = 90), including control group Non-surgical treatment; 90 cases of endoscopic group, endoscopic sinus surgery; compared the clinical cure rate of both groups and improve the total effective rate. Results The clinical cure rates of the control group and the endoscopic group were 12.2% and 26.7%, respectively, while the total effective rates of clinical improvement were 67.8% and 91.1% respectively. Both the clinical cure rate and the total effective rate of clinical improvement in the endoscopic group were significantly Better than the control group, the difference between the groups was statistically significant (P <0.05). Conclusion Compared with non-surgical treatment, endoscopic sinus surgery for nasal polyps treatment of clinical results can effectively improve the clinical treatment effect; clinical treatment and typing, intraoperative and postoperative proficiency in the use of drug applications are closely related.