Maingi Sahil, Jain Shalini, Sharma Nishi
Atal Bihari Vajpayee Institute of Medical Sciences (ABVIMS), Dr. RML hospital, New Delhi, India.
New Delhi, India.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1100-1108. doi: 10.1007/s12070-020-02157-5. Epub 2020 Sep 30.
There is interdependence between the upper and lower airway has led to the concept of a unified airway. Here we aim to study the impact of functional endoscopic sinus surgery (FESS) on the pulmonary function (PFT) of patients with chronic rhinosinusitis (CRS).
The proposed study is undertaken in the department of ENT, PGIMER & Dr. RML Hospital, New Delhi. It is a prospective study of 34 patients fulfilling the clinical criteria for (CRS) from the study period of Oct 2015 to Dec 2017 not responding to medical management and taken up for fess and follow up done with (PFT).
The maximum incidence of cases was seen in the age group > 40 years. Chronic rhinosinusitis predominantly affected the male population. Nasal discharge was the commonest presenting complaint. A marked reduction is seen in the frequency of symptoms post-surgery.
CRS affected persons of adult age with maximum number in the age group of > 40 years, with a male:female ratio of approximately 2:1. Percentage improvement in FEV1 and FVC is more in age group > 40 years while percentage improvement in FEV1/FVC ratio is more in age group 31-40 years. Percentage increase in FEV1 and FVC is more in males while percentage increase in FEV1/FVC is more in females. Percentage increase in FEV1 and FVC is more in males and FEV1/FVC is more in females. Percentage increase in FEV1, FVC and FEV1/FVC ratio is more in cases of bilateral diseases then those with unilateral disease.
上、下气道之间存在相互依存关系，由此产生了统一气道的概念。在此，我们旨在研究功能性鼻内镜鼻窦手术（FESS）对慢性鼻-鼻窦炎（CRS）患者肺功能（PFT）的影响。
本研究在新德里PGIMER和RML医院的耳鼻喉科进行。这是一项前瞻性研究，研究对象为2015年10月至2017年12月期间符合CRS临床标准、药物治疗无效并接受FESS手术及PFT随访的34例患者。
病例的最高发病率出现在年龄>40岁的年龄组。慢性鼻-鼻窦炎主要影响男性人群。流涕是最常见的主诉。术后症状频率明显降低。
CRS影响成年人群，年龄>40岁的人群发病率最高，男女比例约为2:1。年龄>40岁的年龄组FEV1和FVC的改善百分比更高，而年龄在31-40岁的年龄组FEV1/FVC比值的改善百分比更高。男性FEV1和FVC的增加百分比更高，而女性FEV1/FVC的增加百分比更高。男性FEV1和FVC的增加百分比更高，女性FEV1/FVC更高。双侧疾病患者的FEV1、FVC和FEV1/FVC比值增加百分比高于单侧疾病患者。
