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目的比较鼻息肉摘除术及鼻息肉摘除并鼻内筛窦切除术治疗鼻息肉的临床效果。方法选取2013年8月-2016年5月于医院接受治疗的鼻息肉患者80例作为研究对象,将其按就诊顺序分为试验组和对照组各40例,试验组行鼻息肉摘除并鼻内筛窦切除术治疗,对照组行单纯鼻息肉摘除术治疗,比较2组患者的治疗总有效率、术后并发症发生率及术后复发率。结果试验组治疗总有效率为95.0%高于对照组的80.0%,差异有统计学意义(χ2=4.114,P<0.05)。试验组并发症总发生率为5.0%,低于对照组的10.0%,差异有统计学意义(χ2=0.721,P<0.05)。2组患者术后1年内的复发率,试验组复发率为2.5%(1/40),低于对照组的20.0%(8/40),差异有统计学意义(χ2=4.507,P<0.05)。结论对鼻息肉患者进行鼻息肉摘除并鼻内筛窦切除术治疗,其临床效果显著,术后并发症少,且术后复发率较低,有一定的临床推广价值。
Objective To compare the clinical effects of nasal polyps removal and nasal polyps removal and intranasal ethmoidectomy for nasal polyps. Methods Eighty patients with nasal polyps who were treated in the hospital from August 2013 to May 2016 were selected and divided into the experimental group and the control group according to the order of treatment of 40 cases. The patients in the experimental group were treated with nasal polyp removal and intranasal Ethmoidectomy, control group received simple nasal polypectomy. The total effective rate, postoperative complication rate and postoperative recurrence rate were compared between the two groups. Results The total effective rate of the experimental group was 95.0%, which was significantly higher than that of the control group (χ2 = 4.114, P <0.05). The overall complication rate was 5.0% in the experimental group, which was lower than 10.0% in the control group (χ2 = 0.721, P <0.05). The recurrence rate within 1 year after operation in the two groups was 2.5% (1/40) in the test group and 20.0% (8/40) in the control group, with significant difference (χ2 = 4.507, P <0.05 ). Conclusion Nasal polyps in patients with nasal polypectomy and intranasal ethmoidectomy, the clinical effect is significant, less postoperative complications, and the recurrence rate is lower, have some clinical value.