影响鼻内镜下治疗慢性鼻-鼻窦炎效果的危险因素分析
[摘要] 目的 探讨鼻内镜下治疗慢性鼻-鼻窦炎（CRS）疗效的危险因素。 方法 收集104例CRS患者一般资料、临床伴发症、术式、鼻内镜检查评分、CT检查评分、视觉模拟量表（VAS）评分、鼻腔是否粘连等临床特征数据并进行Logistic回归分析，评定术后6个月鼻内镜手术的疗效。 结果 行鼻内镜手术6个月后，CRS患者的痊愈率为93.3%（97/104），好转率为5.8%（6/104），无效率为1.0%（1/104）。病程、是否有伴发症、鼻内镜检查评分、CT检查评分、VAS评分、鼻腔是否粘连是影响鼻内镜手术后CRS患者临床疗效的相关因素（P<0.05）。有伴发症、鼻内镜检查评分、CT检查评分、VAS评分、鼻腔粘连是影响鼻内镜下治疗CRS患者临床疗效的危险因素（OR>1）。 结论 CRS患者术前无伴发症、鼻腔无粘连，鼻内镜、CT检查评分以及VAS评分越低，提示其术后疗效明显改善。
[关键词] 慢性鼻-鼻窦炎；内镜检查；Logistic回归
[中图分类号] R765.04+1[文献标识码] A[文章编号] 1674-4721（2014）05（b）-0069-04
The risk factors study of curative effect in patients with chronic rhinosinusitis after endoscopic surgery
LIU Zheng
Department of Eye Ear Nose and Throat,Funan Hospital of Traditional Chinese Medicine of Anhui Province,Funan 236300,China
[Abstract] Objective To explore the risk factors of curative effect in patients with chronic rhinosinusitis (CRS) after endoscopic surgery. Methods 104 cases with CRS were treated by endoscopic surgery.Their general information,clinical complications,surgical methods,nasal endoscopy score,CT examination score, visual analogue scale (VAS) score,whether or not nasal adhesion and so on were collected and those data were analyzed by logistic regression.The clinical effect of endoscopic surgery was evaluated 6 months after surgery. Results The cure rate of patients with CRS after endoscopic surgery 6 months was 93.3% (97/104), The improvement rate was 5.8% (6/104),and inefficiency was 1.0% (1/104).The course of disease,whether or not clinical compl...
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