摘要
目的:通过对低温等离子辅助下的功能性内镜鼻窦手术(CAFESS)患者的术前、术后的临床观察,探讨CAFESS的临床疗效。方法:选取行CAFESS的慢性鼻-鼻窦炎伴或不伴鼻息肉患者30例作为研究对象。术后对患者的主观症状及局部变化过程进行6～9个月的随访观察。结果:术后患者鼻塞、头面部胀痛、流脓涕、鼻涕倒流、头痛等症状明显缓解,并有其他症状的缓解。SNOT-20评分由术前的(22.53±6.26)分减少为术后6个月的(7.80±3.63)分,差异有统计学意义(t=16.741,P<0.05)。Lund-Kennedy评分由术前的(4.30±1.15)分降低为术后6个月的(1.17±0.83)分,差异有统计学意义(t=19.947,P<0.05)。鼻内镜检查:术后第6周,部分患者鼻腔黏膜开始上皮化,直至第12周所有患者鼻腔黏膜完成上皮化。结论:CAFESS是继功能性内镜鼻窦手术后治疗慢性鼻窦炎、鼻息肉的一项新技术,术后临床疗效满意。
Objective：To explore the clinical efficacy of coblation-assisted FESS（CAFESS）by observing the patients intraoperatively and postoperatively.Method：Thirty patients with chronic sinusitis or/and with nasal polyps were selected.The subjective symptoms and objective changes were observed 6 to 9 months after CAFESS.Result：The sense of nasal congestion,headache and face pain,purulent rhinorrhea,postnasal drip,and other symptoms were relieved.The scores of SNOT-20 reduced from preoperative（22.53±6.26） to（7.80±3.63） 6 months postoperatively,and the difference was statistically significant（t=16.741,P0.05）.The scores of Lund-Kennedy decreased from（4.30±1.15） preoperatively to（1.17±0.83） 6 months postopretively,and the difference was statistically significant（t=19.947,P0.05）.The observation under endoscope illustrated that epithelization commenced at 6w postoperatively and completed until 12 week after CAFESS.Conclusion：CAFESS is a new technique for treatment of chronic sinusitis and nasal polyps,and postoperative clinical results were satisfactory.It＇s a good method for the treatment of chronic sinusitis and nasal polyps.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2011年第23期1087-1089,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
