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目的 :探讨影响慢性鼻窦炎鼻息肉患者内镜术后嗅觉改善的有关因素。方法 :4 4例伴有嗅觉障碍的慢性鼻窦炎鼻息肉患者在内镜手术后半年 ,对其性别、分型分期、病变部位、过敏因素、嗅觉障碍时间、随访等因素进行logistic回归分析。 结果 :分型分期 (病变严重程度 )、过敏、随访等 3个因素对内镜术后嗅觉能否改善有显著影响 (P <0 .0 5 ) ;而性别、病变部位和嗅觉障碍时间则无明显影响 (P >0 .0 5 )。结论 :为了使慢性鼻窦炎鼻息肉患者术后嗅觉功能尽可能地恢复 ,在内镜手术彻底清除病变的基础上 ,积极治疗变应性鼻炎和定期随访是十分重要的
Objective: To investigate the factors that affect the improvement of olfactory function after endoscopic surgery in patients with chronic sinusitis and nasal polyps. Methods: Forty-four patients with chronic sinusitis and nasal polyps with olfactory dysfunction were analyzed by logistic regression analysis for six months after endoscopic surgery, including gender, stage, location of lesions, allergic factors, olfactory disturbance time and follow-up. Results: Three factors, including staging (severity of the disease), allergy and follow-up, had significant effects on the improvement of olfactory function after endoscopic surgery (P <0.05), while gender, lesion location and time of olfactory dysfunction Significant effect (P> 0.05). Conclusion: In order to recover the postoperative olfactory function of patients with chronic sinusitis and nasal polyps as much as possible, it is very important to actively treat allergic rhinitis and regular follow-up based on the complete removal of lesions by endoscopic surgery