目的探讨轮廓化鼻内镜手术联合鼻腔冲洗治疗难治性鼻窦炎的临床效果。方法选取难治性鼻窦炎患者78例,随机分为对照组和研究组,各39例。对照组患者接受功能性鼻内镜手术治疗,研究组接受轮廓化鼻内镜手术联合鼻腔冲洗治疗。比较两组患者的临床疗效和治疗前后相关临床评分情况,以及并发症和复发情况。结果研究组治疗总有效率为92.31%,高于对照组的71.79%,并发症发生率为17.95%、复发率为12.82%,均低于对照组的38.46%和41.03%(均P<0.05)。治疗后,两组患者内镜Lund-Kennedy评分和整体症状VAS评分均较治疗前降低,且研究组上述评分均低于对照组(均P<0.05)。结论对难治性鼻窦炎患者进行轮廓化鼻内镜手术联合鼻腔冲洗治疗能够达到更好的治疗效果,患者临床症状改善明显、不适感减轻,且并发症发生率和复发率均下降。
ObjectiveTo investigate the clinical effect of radical sinus surgery combined with nasal irrigation in the treatment of refractory sinusitis. MethodsA total of 78 patients with refractory sinusitis were selected, and they were randomly divided into control group and study group, with 39 cases in each group. The control group received functional endoscopic sinus surgery, while the study group received radical sinus surgery combined with nasal irrigation. The clinical efficacy, related clinical scores before and after treatment, and the complications and recurrence were compared between the two groups. ResultsThe study group yielded a higher total effective rate (92.31% vs. 71.79%), a lower incidence of complications (17.95% vs. 38.46%), and a lower recurrence rate (12.82% vs. 41.03%) as compared to the control group (all P<0.05). After treatment, the Lund-Kennedy scores and VAS scores of overall symptoms in the two groups were lower than those before treatment, and the above scores of the study group were lower than those of the control group (all P<0.05). ConclusionRadical sinus surgery combined with nasal irrigation can achieve a superior therapeutic effect for patients with refractory sinusitis, which can improve the clinical symptoms, relieve discomfort, and decrease the incidence of complications and recurrence in patients.