Chen Yu-tan, Cao Jin-hong, Li Yan-ni, Liang Geng-tian
Department of Otorhinolaryngology Head and Neck Surgery, Third Hospital of Wuhan, Wuhan 430070, China (Email:
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 Jun;48(6):511-3.
To explore the clinical effect and the influence factors after endoscopic surgery for chronic sinusitis.
The clinical data of 337 patients with chronic sinusitis treated by endoscopic surgery were analyzed, including gender, age, culture level, course of the disease, the days of hospitalization, medical history, smoking, drinking, early surgery history, allergic rhinitis (AR) history, clinical classification, visual analogue scale (VAS) score, nasal endoscopy score, nasal polyps, CT examination score, side, nasal adhesion and postoperative follow-up compliance. The clinical effect of endoscopic sinus surgery was evaluated 6 months after operation according to the 1997 Haikou standard. SPSS 18.0 software and conducted chi-square test and logistic regression analysis were used to analyze the data.
Three hundred and thirty-seven chronic sinusitis patients were followed up after endoscopic surgery. It was found that 298 cases (88.4%) cured, 29 cases (8.6%) improved, 10 cases (3.0%) invalid. The clinical curative effect of the patients with chronic rhinosinusitis without nasal polyp was better than that of the patients with chronic rhinosinusitis with nasal polyp, the difference was statistically significant (χ(2) = 10.932, P < 0.01). After many factors Logistic regression analysis, the most important effect factor in the clinical curative effect were clinical type, AR or not, VAS score, nasal endoscopic examination score, CT examination score, multiple nasal polyp or not, postoperative nasal adhesion or not and postoperative follow-up compliance.
The clinical effective of endoscopic sinus surgery is influenced by not only surgery itself, but also by clinical classification, whether and not with AR and so on.
探讨慢性鼻窦炎内镜手术后的临床疗效及影响因素。
分析337例行内镜手术治疗的慢性鼻窦炎患者的临床资料，包括性别、年龄、文化程度、病程、住院天数、病史、吸烟、饮酒、既往手术史、变应性鼻炎（AR）史、临床分型、视觉模拟评分（VAS）、鼻内镜评分、鼻息肉、CT检查评分、术侧、鼻腔粘连及术后随访依从性等。术后6个月按照1997年海口标准评价鼻窦内镜手术的临床疗效。采用SPSS 18.0软件进行χ²检验和Logistic回归分析。
337例慢性鼻窦炎患者内镜手术后获得随访。结果显示，治愈298例（88.4%），好转29例（8.6%），无效10例（3.0%）。慢性鼻窦炎无鼻息肉患者的临床疗效优于有鼻息肉患者，差异有统计学意义（χ² = 10.932，P < 0.01）。经多因素Logistic回归分析，临床疗效的最重要影响因素为临床类型、是否有AR、VAS评分、鼻内镜检查评分、CT检查评分、是否有多发性鼻息肉、术后是否有鼻腔粘连及术后随访依从性。
鼻窦内镜手术的临床疗效不仅受手术本身影响，还受临床分型、是否合并AR等因素影响。
