目的：探讨保留钩突的功能性鼻内镜手术治疗慢性鼻窦炎的效果分析。方法选择2011年1月~2014年6月来我院治疗的单纯慢性鼻窦炎患者62例，随机分为实验组与对照组，各31例。实验组行保留钩突的鼻内镜手术，对照组行经典Messerklinger术式。比较两组患者治疗总有效率、手术时间、住院时间、复发率及并发症发生率。结果实验组治疗的总有效率为96.77%，对照组为87.10%，差异有统计学意义(P<0.05)。实验组并发症发生率为3.22%，对照组为19.35%，差异有统计学意义(P<0.05)。实验组复发率低于对照组(P<0.05)，平均手术时间及术后住院时间长于对照组(P<0.05)。结论保留钩突的鼻内镜手术可维持鼻腔天然保护屏障，降低复发率及并发症发生率，可更为有效地治疗慢性鼻窦炎，适合临床推广。%Objective To explore the effect of functional nasal endoscopic surgery with keeping hook in treating chronic nasosinusitis. Methods 62 patients with simple chronic nasosinusitis from January 2011 to June 2014 of our hospital were selected.Patients were randomly divided into experimental group and control group,and each group was 31 cases. Patients in experimental group were treated with functional nasal endoscopic surgery with keeping hook,patients in con-trol group were treated with classics Messerklinger.The total effective rate,operation time,hospital stay,recurrence rate and complications incidence were compared between two groups. Results The total effective rate in experimental group and control group was respectively 96.77% and 87.10%,and the difference was statistical significance (P<0.05).The probability of complications in experimental group and control group was respectively 3.22% and 19.35%,and the dif-ference was statistical significance (P<0.05).The recurrence rate of the experimental group was lower than that of the control group (P<0.05).The mean operation time and hospital stay after operation was longer than control group respec-tively(P<0.05). Conclusion Retaining hook nose endoscopic surgery can maintain the nasal natural protective barrier,re-duce the probability of recurrence and complications.It can be more effective for the treatment of chronic sinusitis and is worth to popularize in clinic.
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