摘要
目的探讨鼻腔鼻窦恶性肿瘤患者采用鼻内镜手术和传统手术治疗,对比两种不同手术患者的治疗效果及术后并发症的发生情况。方法方便选取2010年5月—2014年5月份来该院进行治疗的92例鼻腔鼻窦恶性肿瘤为研究对象,其中2010年5月—2012年5月份的入选的46例患者采用传统手术进行治疗,定义为对照组。2012年6月—2014年5月份的46例患者采用内镜手术进行治疗,定义为试验组。对两组患者展开12、24个月的术后门诊随访及电话随访。在随访之后,记录下两组患者的手术时长、手术过程的出血量、手术之后的不良反应的发生可能性及生活质量,并进行对比。结果两组患者经过对比分析发现,并发症发生率,实验组并发症发生率为10.87%,对照组并发症发生率为26.09%。试验组低于对照组(P<0.05);试验组患者平均手术时间、术中出血量、术后痛疼评分等都远远低于对照组,差异有统计学意义(P<0.05)。试验组生活质量评分较对照组有明显改善(P<0.05)。结论对于鼻腔鼻窦恶性肿瘤患者在临床上采用内镜手术能取得更好的效果,缩短手术时间,减少术中出血量,减轻患者手术后的痛疼,并发症及复发率也较低,更值得在临床中推广应用。
Objective To discuss the treatment effect and occurrence of postoperative complications of sino-nasal malignant tumor endoscopic operation and traditional surgery. Methods 92 cases of patients with sino-nasal malignant tumors admitted and treated in our hospital from May 2010 to May 2014 were conveniently selected including 46 cases of patients admitted and treated in our hospital from May 2010 to May 2012（the control group）, and 46 cases of patients admitted and treated from June 2012 to May 2014（the experimental group）, and the outpatient follow-up in 12 months and 24 months after surgery and telephone follow-up of the two groups were conducted, after the follow-up, the operation time, bleeding amount in operation and occurrence probability of adverse reactions of the two groups were recorded and compared. Results Two groups of patients after comparative analysis found that the incidence of complications, the incidence of complications in the experimental group was 10.87%, the incidence of complications in the control group was 26.09%.（P〈0.05）. The average operative time, intraoperative blood loss and postoperative pain score were significantly lower in the experimental group than in the control group（P〈0.05）. The quality of life of the test group was significantly improved compared with the control group（P〈0.05）. Conclusion The effect of endoscopic operation in treatment of patients with sino-nasal malignant tumors is better, which can shorten the operation time, reduce the intraoperative bleeding amount and relieve the pains of patients after surgery with low complication rate and recurrence rate, which is worth clinical promotion and application.
出处
《中外医疗》
2017年第17期74-76,79,共4页
China & Foreign Medical Treatment
关键词
鼻腔鼻窦恶性肿瘤
鼻内镜手术
传统手术
对比分析
Sino-nasal malignant tumor
Endoscopic operation
Traditional surgery
Analysis of comparison
