术后植入鼻窦药物支架对慢性鼻窦炎伴鼻息肉患者应用价值分析
DOI:
CSTR:
作者:
作者单位:

1.川北医学院附属医院;2.川北医学院附属医院 耳鼻咽喉头颈外科

作者简介:

通讯作者:

中图分类号:

基金项目:

川北医学院附属医院课题基金( 2022JC016) 。


Application value analysis of drug stents implantation in sinus after surgery for chronic rhinosinusitis with nasal polyps
Author:
Affiliation:

Department of Otorhinolaryngology Head and Neck Surgery,Affiliated Hospital of North Sichuan Medical College

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:探讨慢性鼻窦炎伴鼻息肉患者功能性鼻内镜术后2周植入全降解鼻窦药物支架的临床疗效与安全性。方法:采集川北医学院附属医院耳鼻咽喉头颈外科50例确诊患者,将其随机分为术中植入组与术后植入组,每组各25例,均采用功能性鼻内镜全组鼻窦开放和鼻息肉切除手术治疗。术中植入组作为对照组,在术中同期随机选择一侧术腔筛窦植入全降解鼻窦药物支架。术后植入组作为实验组,在术后2周局麻下经鼻内镜鼻腔清理后随机选择一侧术腔筛窦植入鼻窦药物支架。术后随访3个月,分别于术前、术后2、4、8、12周进行鼻部症状视觉模拟评分法(VAS)评分及鼻内镜检查Lund-Kennedy评分。结果:两组患者鼻部症状VAS评分中,鼻塞评分在术后4、8、12周均有显著差异,P <0.05;流涕评分在术后2、8、12周均有显著差异,P <0.05;嗅觉、头部闷胀感评分在术后4、8周均有显著差异,P <0.05。两组患者鼻内镜检查Lund-Kennedy评分中,息肉、水肿评分在术后8、12周均有显著差异,P <0.05;鼻漏评分在术后2、8、12周均有显著差异,P <0.05;结痂评分在术后4、8、12周均有显著差异,P <0.05。结论:慢性鼻窦炎伴鼻息肉患者在术后2周植入全降解鼻窦药物支架较术中同期植入临床疗效更佳,安全可靠。

    Abstract:

    Objective: To investigate the clinical efficacy and safety of implanting fully degraded sinus drug stents in patients with chronic sinusitis and nasal polyps 2 weeks after functional endoscopic sinus surgery. Methods: A total of 50 patients diagnosed in the Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of North Sichuan Medical College were randomly divided into intraoperative implantation group and postoperative implantation group, with 25 cases in each group. Patients in both groups underwent endoscopic all sinuses surgery and nasal polypectomy. The intraoperative implantation group was used as the control group. During the same period, one side of the ethmoid sinus was randomly selected to implant a fully degraded sinus drug stent. The postoperative implantation group was used as the experimental group. Two weeks after endoscopic sinus surgery, the nasal cavity was cleaned by nasal endoscopy under local anesthesia and one side of the ethmoid sinus was randomly selected to implant a fully degraded sinus drug stent. The patients were followed up for 3 months. The VAS score of nasal symptoms and Lund-Kennedy score of nasal endoscopy were performed before operation and 2,4,8 and 12 weeks after operation. Results: In the VAS score of nasal symptoms in the two groups, the nasal congestion score was significantly different at 4,8 and 12 weeks after operation, P < 0.05 ; there were significant differences in runny nose score at 2,8 and 12 weeks after operation ( P < 0.05 ). There were significant differences in olfactory and head swelling scores at 4 and 8 weeks after operation ( P< 0.05 ). In the Lund-Kennedy score of nasal endoscopy, there were significant differences in polyps and edema scores between the two groups at 8 and 12 weeks after operation (P< 0.05). There were significant differences in rhinorrhea score at 2,8 and 12 weeks after operation ( P< 0.05 ). There were significant differences in scab score at 4,8 and 12 weeks after operation ( P< 0.05 ). Conclusion: Patients with chronic sinusitis and nasal polyps implanted with fully degraded sinus drug stents at 2 weeks after surgery have better clinical efficacy than simultaneous implantation during surgery, and are safe and reliable.

    参考文献
    相似文献
    引证文献
引用本文
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2025-04-07
  • 最后修改日期:2025-05-13
  • 录用日期:2025-05-14
  • 在线发布日期:
  • 出版日期:
文章二维码
温馨提示

本刊唯一投稿网址:www.xyosbs.com
唯一办公邮箱:xyent@126.com
编辑部联系电话:0731-84327210,84327469
本刊从未委托任何单位、个人及其他网站代理征稿及办理其他业务联系,谨防上当受骗!

关闭