[影响慢性鼻窦炎和/或鼻息肉患者内镜鼻窦手术后嗅觉功能改善的因素]
[Factors that affect the improvement of olfactory function after endoscopic sinus surgery in patients suffering from chronic sinusitis and/or nasal polyps].
作者信息
Wang Xueyong, Yin Jinshu, Zhai Suoqiang
机构信息
Research Laboratory of Otorhinolaryngology, PLA General Hospital, Beijing 100853.
出版信息
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2003 Oct;17(10):609-11.
OBJECTIVE
To investigate the factors related to the improvement of olfaction after endoscopic sinus surgery (ESS) in chronic sinusitis and/or nasal polyps patients.
METHOD
Fourteen patients suffering from chronic sinusitis and/or nasal polyps were accompanied with olfactory dysfunction. At 6 months after the ESS, measurement of olfaction showed that 27 patients' olfaction had improved. The effective rate is 61.36%. Using a logistic regression model, we analyzed the factors such as gender, disease stage, disease site, allergy, duration of olfactory dysfunction and follow-up.
RESULT
Contrary to gender, disease site and duration of olfactory dysfunction, disease stage, allergy and follow-up had a significant effect on the improvement of olfaction.
CONCLUSION
In order to improve the olfaction of the patients with chronic sinusitis and/or nasal polyps, it is important to treat positively with allergic rhinitis on a basis of the ESS. Follow-up should be emphasized further.
目的
探讨慢性鼻窦炎和/或鼻息肉患者经鼻内镜鼻窦手术（ESS）后嗅觉改善的相关因素。
方法
14例患有慢性鼻窦炎和/或鼻息肉并伴有嗅觉功能障碍的患者。ESS术后6个月，嗅觉测量显示27例患者嗅觉改善。有效率为61.36%。采用逻辑回归模型，分析性别、疾病分期、病变部位、过敏情况、嗅觉功能障碍持续时间及随访等因素。
结果
与性别、病变部位及嗅觉功能障碍持续时间相反，疾病分期、过敏情况及随访对嗅觉改善有显著影响。
结论
为改善慢性鼻窦炎和/或鼻息肉患者的嗅觉，在ESS基础上积极治疗变应性鼻炎很重要。应进一步加强随访。
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