The effect of endoscopic surgery on chronic sinusitis and nasal polyps
鼻内镜手术治疗慢性鼻窦炎鼻息肉的效果

摘要

目的 分析在慢性鼻窦炎鼻息肉治疗中应用鼻内镜手术治疗的效果。方法 随机抽选2020年3月-2023年3月期间于我院就诊的慢性鼻窦炎伴随鼻息肉患者80例，按照手术方式的不同分接受传统鼻外径入路手术的40例患者为对照组，而接受鼻内镜的40例患者为观察组，对比两组治疗前后的症状评分术后6月的嗅觉分级。结果 手术前，两组临床症状对比差异不显著，p﹥0.05，而在术后，观察组鼻塞、头晕等临床评分低于对照组。术后6月观察组嗅觉分级优于对照组，差异显著，P﹤0.05。结论 鼻内镜手术治疗慢性鼻窦炎鼻息肉效果较好，可明显改善临床症状，同时恢复患者的嗅觉功能。

Abstract

Objective To analyze the effectiveness of endoscopic surgery in the treatment of chronic sinusitis and nasal polyps.
Methods Eighty patients with chronic sinusitis accompanied by nasal polyps who visited our hospital from March 2020 to March 2023 were randomly selected. According to different surgical methods, 40 patients who underwent traditional nasal outer diameter approach surgery were divided into a control group, while 40 patients who underwent nasal endoscopy were selected as the observation group. The symptom scores before and after treatment were compared, and the olfactory grading at 6 months after surgery was compared between the two groups.
Results Before surgery, there was no significant difference in clinical symptoms between the two groups, p>0.05. However, after surgery, the clinical scores of nasal congestion, dizziness, and other symptoms in the observation group were lower than those in the control group. After 6 months of surgery, the olfactory grading of the observation group was better than that of the control group, with a significant difference (P<0.05).
Conclusion   Nasal endoscopic surgery is effective in treating chronic sinusitis and nasal polyps, which can significantly improve clinical symptoms and restore the patient's olfactory function.