Abstract:Objective: To evaluate the efficacy of functional endoscopic sinus surgery for chronic sinusitis with nasal polyps by observing the NRS score, postoperative complications and prognosis of patients. Methods: 124 cases of patients with chronic sinusitis complicated with nasal polyps treated in our hospital were selected as the study objects, and were divided into observation group and control group, according to random number table method, 62 cases in each group. The control group were given routine surgery treatment, and the observation group were given functional endoscopic sinus surgery. Clinical indicators, pain degree, endoscopic findings, quality of life, clinical efficacy and olfactory function were observed, and complications and recurrence rates were figured in the two groups. Results: Operation time, nasal ventilation time, hospitalization time, intraoperative blood loss and mucosal recovery time in the observation group were significantly lower than those in the control group (P < 0.05). At 6 months after operation, NRS, Lund-Kennedy and SNOT-20 scores were significantly lower than those before operation in the two groups (P < 0.05), and those in the observation group were lower than those in the control group (P < 0.05). Total effective rate of the observation group was 96.77%, significantly higher than that of 87.10% of the control group (P < 0.05). At 3 months after operation, the score of olfactory function was significantly lower than that before operation in the two groups (P < 0.05). and that in the observation group was lower than that in the control group (P < 0.05). Complication rate of the observation group was 3.23%, and the recurrence rate was 4.84%, which were lower than that of 14.52% and 16.13% in the control group (P < 0.05). Conclusion: Compared with conventional surgery, functional endoscopic sinus surgery can not only reduce the pain of patients with chronic sinusitis and nasal polyps, but also improve the clinical curative effect and reduce the complication and recurrence rate.
施建飞, 李佳. 功能性鼻内镜手术治疗慢性鼻窦炎伴鼻息肉疗效分析[J]. 河北医学, 2018, 24(3): 437-441.
SHI Jianfei, LI Jia. Effect of Functional Endoscopic Sinus Surgery on Chronic Nasosinusitis with Nasal Polyps. HeBei Med, 2018, 24(3): 437-441.
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