【摘要】： 目的：通過檢測不同分型分期慢性鼻竇炎鼻息肉患者手術(shù)前后嗅功能的變化情況,并觀察手術(shù)中中鼻甲切除對(duì)嗅功能恢復(fù)的影響,探討該疾病對(duì)嗅功能的損害以及手術(shù)治療對(duì)嗅覺功能恢復(fù)的作用,對(duì)臨床治療嗅覺障礙提供依據(jù)。 方法：采用TT標(biāo)準(zhǔn)試嗅法分別對(duì)85例慢性鼻竇炎鼻息肉患者術(shù)前、術(shù)后3個(gè)月進(jìn)行嗅功能測定,所有患者在全麻下行鼻內(nèi)鏡手術(shù),術(shù)后定期復(fù)查,清理鼻腔分泌物,直至術(shù)腔完全上皮化。 結(jié)果：(1)在85例慢性鼻竇炎鼻息肉患者中,根據(jù)1997年�？跇�(biāo)準(zhǔn)進(jìn)行分型分期,其中Ⅰ型1期7例,Ⅰ型2期6例,Ⅰ型3期5例：Ⅱ型1期12例,Ⅱ型2期16例,Ⅱ型3期15例：Ⅲ型24例。所有患者中嗅覺功能正常,輕、中、重度損害,完全喪失者分別27.1%,15.2%,10.6%,16.5%,30.6%. (2)Ⅰ型1期,2期,3期,Ⅱ型1期,2期,3期及Ⅲ型患者術(shù)前嗅覺主訴情況與嗅覺檢測結(jié)果對(duì)比不符合率分別為52.1%,69.2%,88.9%,50.0%,50.0%。 (3)根據(jù)鼻竇CT及鼻內(nèi)鏡檢查結(jié)果,分析嗅裂阻塞情況對(duì)嗅覺的影響,采用X2檢驗(yàn),p0.01,有統(tǒng)計(jì)學(xué)意義。 (4)術(shù)后3月復(fù)查嗅覺時(shí),70.5%患者嗅覺改善,其中Ⅰ型1期,2期,3期,Ⅱ型1期,2期,3期及Ⅲ型患者嗅覺改善程度不同,好轉(zhuǎn)率分別為100.0%,100.0%,80.0%,71.4%,80.0%,61.5%。 (5)根據(jù)術(shù)中是否處理中鼻甲對(duì)患者嗅功能進(jìn)行分析,發(fā)現(xiàn)中鼻甲處理對(duì)嗅功能的影響有統(tǒng)計(jì)學(xué)意義。 結(jié)論：(1)慢性鼻竇炎鼻息肉患者有82.9%的患者都有不同程度的嗅覺障礙,并且嗅覺障礙程度基本上隨著臨床分期的增高而呈加重趨勢。 (2)患者對(duì)嗅覺障礙的主訴與檢測結(jié)果有一定程度的差異,不符合率約為57.7%。 (3)嗅裂阻塞對(duì)嗅覺障礙的影響有統(tǒng)計(jì)學(xué)意義,對(duì)臨床治療嗅覺障礙有理論和實(shí)際的指導(dǎo)意義。 (4)嗅覺障礙的患者鼻內(nèi)鏡手術(shù)后3個(gè)月嗅覺好轉(zhuǎn)率為70.5%。但不同分型分期好轉(zhuǎn)程度不同。 (5)手術(shù)中對(duì)中鼻甲的切除對(duì)術(shù)后嗅功能恢復(fù)有一定的影響,因此術(shù)中要嚴(yán)格掌握內(nèi)鏡手術(shù)中對(duì)中鼻甲手術(shù)的適應(yīng)癥。
[Abstract]:Objective: to detect the changes of olfactory function in patients with chronic sinusitis and nasal polyps before and after operation, and to observe the effect of turbinate resection on the recovery of olfactory function in patients with chronic sinusitis and nasal polyps. To explore the damage of olfactory function caused by the disease and the effect of surgical treatment on the recovery of olfactory function, and to provide evidence for clinical treatment of olfactory dysfunction. Methods: the olfactory function of 85 patients with chronic sinusitis and nasal polyps was measured before operation and 3 months after operation by TT standard test. Until the operative cavity is completely epithelized. Results: (1) in 85 patients with chronic sinusitis and nasal polyps, according to the Haikou criteria of 1997, there were 7 cases of type 鈪，

本文編號(hào)：2118999