摘要
目的探讨老年慢性鼻窦炎鼻息肉临床特点以及经鼻内镜手术治疗的疗效及安全性。方法回顾性分析85例大于60岁行鼻内镜手术的老年慢性鼻窦炎鼻息肉患者的临床资料,并与同期手术的639例小于60岁的非老年患者进行疗效和并发症的比较。结果观察组中Ⅲ型占36.5%,对照组中Ⅲ型占24.6%,两者差异有统汁学意义(x^2=5.52,P=0.019,P<0.05)。观察组中治愈42例(49.4%),好转29例(34.1%),无效14例(16.5%),治愈率49.4%,总有效率(83.5%)。治愈率低于非老年组(62.3%)(x^2=5.215,P=0.022,P<0.05),但总有效率与非老年组(88.7%)相比,差异无统计学意义(x^2=1,94,P=0.164,P>0.05)。老年组并发症发生率为7.06%(6/85),其中多数较轻微,略高于非老年组3.59%(26/639),但差异无统计学意义(x^2=1.519,P=0.218,P>0.05)。结论鼻内镜手术治疗老年慢性鼻窦炎鼻息肉安全、有效。(中国眼耳鼻喉科杂志,2007,7:297-299)
Purpose To investigate the safety and efficacy of endoscopic sinus surgery in the aged patients with chronic sinusitis and nasal polyps. Methods Data of 85 patients over 60 years with chronic sinusitis and nasal polyps who had undergone endoscopic sinus surgery were analyzed retrospectively. The therapeutic effect and the complications were compared betweem the aged group and 639 patients under 60 years old who underwent the surgery at the same time. Results The proportion of type III was significantly higher in aged group than in non-aged group（x^2 = 5.52,P =0. 019, P〈0.05）. In aged group, 42 cases were cured（49.4% ）, 29 cases improved（34.1% ）, while 14 patients （16.5%） had no improvement. The curative rate was lower in aged group than that in non-aged group（62.3% ）（ x^=5. 215 ,P = 0. 022, P 〈 0.05 ）, while the effective rate between the two groups was of no significant difference （x^= 1.94,P = 0. 164, P 〉 0.05 ）. Complications occurred in 6 cases （7.06%） in aged group, not significantly different to that in non-aged group （x^ = 1. 519, P = 0. 218, P 〉 0.05 ）. Conclusions Endoscopic sinus surgery is a safe and effective treatment for the aged patients with chronic sinusitis and nasal polyps. （Chin J Ophthalmol and Otorhinolaryngol,2007,7：297-299）
出处
《中国眼耳鼻喉科杂志》
2007年第5期297-299,共3页
Chinese Journal of Ophthalmology and Otorhinolaryngology
