摘要目的 探讨经鼻内镜手术结合药物治疗慢性鼻窦炎伴鼻息肉的临床疗效.方法 选取本院2015年8月至2017年5月期间收治的慢性鼻窦炎伴鼻息肉患者84例,根据患者的就诊序号的奇偶分为研究组和对照组,研究组行鼻内镜手术结合药物治疗,对照组单独行鼻内镜手术治疗,对比两组患者的临床治疗效果、术后并发症率和一年内复发率.结果 两组患者治疗总有效率对比,研究组(92.86％)显著高于对照组(76.19％),差异有统计学意义(P＜0.05);两组患者术后并发症发生率研究组为4.76％,对照组为21.43％,差异有统计学意义(P＜0.05);术后一年随访结果,研究组复发率为2.38％,对照组为16.67％,差异有统计学意义(P＜0.05).结论 采用药物治疗与鼻内镜手术治疗相结合的方法治疗慢性鼻窦炎伴鼻息肉的疗效显著,与单纯鼻内镜手术治疗相比,在相同治疗时间内患者的治疗效果明显,并发症率低,且术后近期复发率低,是一种高效、安全的治疗方法.

abstractsObjective To explore the clinical effect of nasal endoscopic surgery combined with drugs in the treatment of chronic sinusitis complicating by nasal polyps.Methods 84 patients with chronic sinusitis and nasal polyps treated in our hospital from August 2015 to May 2017 were divided into the study group and the control group.The study group was treated with nasal endoscopic surgery combined with drugs,and the control group was treated with nasal endoscopic surgery alone.The clinical therapeutic effect,the rate of postoperative complications,and the rate of recurrence within one year of the two groups were compared.Results The total effective rate of treatment in the study group (92.86％) was significantly higher than that in the control group (76.19％) (P＜0.05).The incidence of postoperative complications in the study group (4.76％) was significantly lower than that in the control group (21.43％) (P＜0.05).The rate of recurrence in the study group (2.38％) was significantly lower than that in the control group (16.67％) within one year (P＜0.05).Conclusion The combination of drug therapy and nasal endoscopic surgery is effective in the treatment of chronic sinusitis complicating by nasal polyps.Compared with the simple endoscopic surgery,its treatment effect is more obvious,with low rate of complications and short-term recurrence rate,is an efficient and safe method of treatment.