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目的探讨鼻内镜下鼻窦开放术后,鼻腔检查及清理的有效方法。方法随机选取2015年1月-2016年12月在昆山市第一人民医院鼻内镜下行鼻窦开放术患者50例,分为对照组与观察组各25例,术后均进行鼻内鼻腔黏膜检查及药物治疗,并利用糖精清除率法测定患者鼻腔黏膜的纤毛清除功能,两组患者均在鼻内镜下清理术腔,给予布地奈德鼻喷剂及抗炎治疗,观察组在此基础上进一步使用球囊鼻腔冲洗器进行术腔冲洗,比较两组患者的治愈情况与鼻腔纤毛功能。结果观察组患者的治愈率为92.0%,显著高于对照组的80.0%,且鼻腔黏膜上皮皮化所需时间为(46.7±5.36)d,明显短于对照组患者(62.3±4.97)d,差异均有统计学意义(P<0.05)。结论鼻窦开放术后鼻内镜下术腔处理及药物治疗结合鼻腔冲洗可提高手术治愈率,减少术后复发。
Objective To explore the nasal endoscopic sinus surgery and nasal clearance and effective methods. Methods Fifty patients undergoing endoscopic sinus surgery at the First People’s Hospital of Kunshan City from January 2015 to December 2016 were randomly selected and divided into control group and observation group of 25 patients. All patients underwent intranasal nasal mucosa examination And drug treatment, and the use of saccharin clearance method for the determination of nasal mucosa in patients with ciliary clearance, both groups were cleared endoscopic surgery, budesonide nasal spray and anti-inflammatory treatment, the observation group on this basis The balloon nasal irrigator was further used to perform the cavity flushing, and the cure of the two groups was compared with the nasal cilia function. Results The cure rate in observation group was 92.0%, which was significantly higher than that in control group (80.0%). The time required for epithelialization of nasal mucosa was (46.7 ± 5.36) d, which was significantly shorter than that in control group (62.3 ± 4.97) d, The differences were statistically significant (P <0.05). Conclusion Endoscopic sinus surgery and nasal endoscopic sinus surgery combined with nasal irrigation can improve the cure rate and reduce postoperative recurrence.