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目的:评估病理学指标对预测慢性鼻-鼻窦炎伴鼻息肉患者鼻内镜术后疗效的价值。方法:通过对53例接受鼻内镜手术1年以上的慢性鼻-鼻窦炎伴鼻息肉患者的临床症状问卷调查,阅读这些患者的手术标本病理切片,统计相关病理指标,统计学分析慢性鼻-鼻窦炎伴鼻息肉患者接受鼻内镜术后的主要症状及其与病理学指标之间的联系。结果:慢性鼻-鼻窦炎伴鼻息肉患者接受鼻内镜手术后最主要的症状有鼻塞、流脓涕、流清涕或打喷嚏,其中杯状细胞与打喷嚏、流脓涕症状,病理性腺体形成与头昏症状,组织水肿程度与后鼻滴漏症状相关(P<0.05)。结论:病理学指标有助于预测慢性鼻-鼻窦炎伴鼻息肉患者鼻内镜术后疗效。
OBJECTIVE: To evaluate the value of pathology in predicting the curative effect of endoscopic sinus surgery in patients with chronic rhinosinusitis and nasal polyps. Methods: 53 cases of chronic rhinosinusitis patients with nasal polyps undergoing endoscopic sinus surgery for more than 1 year were surveyed by clinical symptoms questionnaire, the pathological sections of the surgical specimens were read and the related pathological indexes were statistically analyzed. The chronic nasal - Patients with sinusitis and nasal polyps received the main symptoms after endoscopic sinus surgery and its relationship with pathological indicators. Results: The main symptoms of patients with chronic rhinosinusitis and nasal polyps undergoing endoscopic sinus surgery were nasal congestion, purulent nasal discharge, runny nose or sneezing, with goblet cells and sneezing, symptoms of purulent nasal discharge, pathological Gland formation and dizziness symptoms, degree of tissue edema associated with postnasal leakage (P <0.05). Conclusion: The pathological parameters are helpful to predict the curative effect of endoscopic sinus surgery in patients with chronic rhinosinusitis and nasal polyps.