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目的观察鼻内窥镜手术治疗慢性鼻窦炎的临床疗效。方法慢性鼻窦炎患者136例随机分成两组,综合治疗组71例在综合治疗的基础上施行鼻内窥镜手术治疗,对照组65例仅给予内窥镜手术治疗,比较两组术中出血量及后期疗效。结果综合治疗组术中出血量为(84.5±41.3)ml,少于对照组的(148.8±46.8)ml,两组比较差异有统计学意义(P<0.05)。综合治疗组有效率为94.37%,对照组有效率为81.54%,综合治疗组疗效好于对照组(P<0.05)。结论围术期适当应用肾上腺素,术中灵活运用吸引切割器、咬切钳、微波热凝止血等综合性措施,能减少鼻内窥镜手术出血量,提高疗效。
Objective To observe the clinical effect of endoscopic sinus surgery for chronic sinusitis. Methods One hundred and sixty-six patients with chronic sinusitis were randomly divided into two groups. 71 cases in the comprehensive treatment group were treated with endoscopic sinus surgery on the basis of comprehensive treatment, and 65 cases in the control group were only treated by endoscopic surgery. The intraoperative blood loss And the late effect. Results The bleeding volume in the combined treatment group was (84.5 ± 41.3) ml less than that in the control group (148.8 ± 46.8) ml, the difference was statistically significant (P <0.05). The effective rate was 94.37% in the comprehensive treatment group and 81.54% in the control group, and the curative effect in the comprehensive treatment group was better than that in the control group (P <0.05). Conclusions Appropriate use of epinephrine during perioperative period, intraoperative flexible use of suction cutter, bite - cutting pliers, microwave coagulation and other comprehensive measures can reduce the bleeding volume of nasal endoscopic surgery and improve the curative effect.