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鼻内镜手术治疗慢性鼻窦炎伴鼻息肉的疗效及不良反应发生率

Effectiveness and incidence of adverse reactions of nasal endoscopic surgery in the treatment of chronic rhinosinusitis with nasal polyps.

作者信息

Chen Shengwei, Lin Chubiao, Fang Zhonghong

机构信息

Otolaryngology Center of Shantou Chenghai District People's Hospital, Shantou, Guangdong, 515000, China.

出版信息

BMC Surg. 2025 Apr 18;25(1):165. doi: 10.1186/s12893-025-02905-w.

Abstract

BACKGROUND

To research and examine the efficacy of nasal endoscopic surgery in management of chronic sinusitis with nasal polyps, as well as how it affects the likelihood of adverse responses.

METHODS

The collecting of samples was scheduled to take place between January 2020 and December 2022. The traditional surgery team consisted of 80 clients with chronic sinusitis and nasal polyps. Retrospective analysis of clinical information of two teams of clients with chronic sinusitis and nasal polyps who underwent surgery using different techniques, contrast of the surgical conditions, postoperative complications, recovery time, and postoperative pain scores between the two teams, as well as postoperative serum inflammatory factor indexes, immune function indexes, sleep state indexes, and quality of life grades of the two teams before and after.

RESULTS

The study team had procedure in less time than traditional surgery team(P < 0.05), and they experienced less intraoperative blood loss than traditional surgery team. The values in study team were lower than those in traditional surgery team in terms of overall incidence rate of postoperative adverse responses(P < 0.05). The grades of four aspects of quality of life in two teams after the operation greatly improved from those before operation. The grades of four aspects of quality of life in the two teams after operation greatly improved from those before operation, all P < 0.05.

CONCLUSION

In contrast to conventional open sinus surgery, using nasal endoscope on clients with chronic sinusitis and nasal polyps can successfully remove polyps from nasal cavity, open sinuses, and lower risk of intraoperative problems.

摘要

背景

研究和检验鼻内镜手术治疗慢性鼻窦炎伴鼻息肉的疗效,以及其对不良反应发生可能性的影响。

方法

样本收集时间为2020年1月至2022年12月。传统手术组有80例慢性鼻窦炎伴鼻息肉患者。回顾性分析两组采用不同技术进行手术的慢性鼻窦炎伴鼻息肉患者的临床资料,对比两组的手术情况、术后并发症、恢复时间、术后疼痛评分,以及两组术前和术后的血清炎症因子指标、免疫功能指标、睡眠状态指标和生活质量等级。

结果

研究组手术时间比传统手术组短(P < 0.05),术中出血量比传统手术组少。研究组术后不良反应总发生率低于传统手术组(P < 0.05)。两组术后生活质量四个方面的等级较术前均有显著提高,均P < 0.05。

结论

与传统鼻窦开放手术相比,对慢性鼻窦炎伴鼻息肉患者使用鼻内镜可成功切除鼻腔息肉、开放鼻窦,并降低术中问题发生风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a03/12007335/8dafb68f4fd3/12893_2025_2905_Fig1_HTML.jpg

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