Akarçay Mustafa, Kizilay Ahmet, Miman Murat Cem, Cokkeser Yaşar, Ozturan Orhan
Department of Otolaryngology, Medicine Faculty of Inönü University, Malatya, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2003 Sep;11(3):65-71.
We assessed the effects of endoscopic sinus surgery on quality of life of patients with nasal polyposis or chronic sinusitis.
Thirty patients (5 females, 25 males; mean age 36 years; range 17 to 58 years) who underwent endoscopic sinus surgery were prospectively evaluated. The diagnoses were nasal polyposis in 15 patients and chronic sinusitis in 15 patients. Primary and revision operations were performed in 23 patients and seven patients, respectively. The quality of life was evaluated before and six months after surgery with the use of the Chronic Sinusitis Survey (CSS), and Medical Outcomes Study Short Form-12 (SF-12). Prior to administration, the two questionnaires were translated and adapted to Turkish. Computed tomography (CT) findings were scored before and six months after surgery according to the Lund-Mackay system. The results of the surveys were compared with CT scores.
The postoperative SF-12 and CSS scores of all the patients improved significantly. Computed tomography scores were not found in correlation with improvements in the SF-12 and CSS scores.
Endoscopic sinus surgery results in significant improvement in the quality of life of patients with nasal polyposis and chronic sinusitis, which may not be reflected by CT scores.
我们评估了鼻内镜鼻窦手术对鼻息肉或慢性鼻窦炎患者生活质量的影响。
对30例行鼻内镜鼻窦手术的患者进行前瞻性评估（5名女性，25名男性；平均年龄36岁；年龄范围17至58岁）。诊断为鼻息肉患者15例，慢性鼻窦炎患者15例。分别有23例患者和7例患者接受了初次手术和翻修手术。术前及术后6个月使用慢性鼻窦炎调查问卷（CSS）和医学结局研究简表-12（SF-12）评估生活质量。在发放问卷之前，将两份问卷翻译成土耳其语并进行了改编。根据Lund-Mackay系统对术前及术后6个月的计算机断层扫描（CT）结果进行评分。将调查结果与CT评分进行比较。
所有患者术后的SF-12和CSS评分均显著改善。未发现CT评分与SF-12和CSS评分的改善存在相关性。
鼻内镜鼻窦手术可显著改善鼻息肉和慢性鼻窦炎患者的生活质量，而CT评分可能无法反映这一点。
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