真菌球型鼻竇炎臨床分析及術(shù)后生活質(zhì)量調(diào)查
發(fā)布時(shí)間:2018-04-28 11:16
本文選題:真菌性鼻竇炎 + 鼻腔鼻竇結(jié)局量表; 參考:《中國耳鼻咽喉顱底外科雜志》2016年01期
【摘要】:目的回顧性分析真菌球型鼻竇炎臨床特點(diǎn),觀察鼻內(nèi)鏡手術(shù)治療對患者生活質(zhì)量改善的影響。方法選擇2009年6月~2013年6月住院確診為真菌球型鼻竇炎患者,調(diào)查分析其臨床特點(diǎn),并對2013年1~6月38例患者使用SNOT-20及VAS量表,調(diào)查其鼻內(nèi)鏡手術(shù)后生活質(zhì)量改善情況。結(jié)果真菌球型鼻竇炎男女發(fā)病率分別為30.1%及69.9%,發(fā)病年齡為54.08±13.86歲,單側(cè)上頜竇發(fā)病率為85.6%,糖尿病發(fā)病率為15%,顯著高于國內(nèi)成人發(fā)病率(P0.05),術(shù)后6個(gè)月SNOT-20及VAS量表評分顯著減低(P0.01)。結(jié)論真菌球型鼻竇炎好發(fā)于中老年人群,女性患者多發(fā),以單竇特別是上頜竇為主,糖尿病是發(fā)病危險(xiǎn)因素之一,手術(shù)治療可以顯著提高生活質(zhì)量。
[Abstract]:Objective to retrospectively analyze the clinical features of fungal spherical sinusitis and to observe the effect of endoscopic sinus surgery on the improvement of quality of life. Methods from June 2009 to June 2013, 38 patients with fungal bulbous sinusitis were investigated and analyzed. 38 patients were treated with SNOT-20 and VAS scale from January to June 2013 to investigate the improvement of their quality of life after endoscopic surgery. Results the incidence of fungal spherical sinusitis was 30.1% and 69.9% in male and female respectively. The incidence age was 54.08 鹵13.86, the incidence of unilateral maxillary sinus was 85.6, and the incidence of diabetes was 15, which was significantly higher than that of adults in China (P 0.05). The scores of SNOT-20 and VAS were significantly decreased at 6 months after operation. Conclusion fungal bulbous sinusitis is more common in middle and old people, especially in female patients, especially in maxillary sinus. Diabetes mellitus is one of the risk factors, and surgical treatment can significantly improve the quality of life.
【作者單位】: 海軍總醫(yī)院全軍耳鼻咽喉科中心;
【分類號】:R765.9
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本文編號:1815055
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