Clinical effect of ostimeatal complex surgery on chronic sinusitis under nasal endoscope

Abstract

Objective \nTo analyze the clinical effect of ostimeatal complex surgery on chronic sinusitis under nasal endoscope. \n \n \nMethods \nA total of 270 patients with chronic sinusitis treated in Huzhou Central Hospital from March 2014 to May 2017 were selected.The patients were randomly divided into control group and observation group according to the digital table, with 135 cases in each group.The observation group received ostimeatal complex surgery under nasal endoscope.The control group was treated with local excision, local glucocorticoid injection, and maxillary sinus puncture and irrigation.The patients were followed up for 6 months after surgery, the clinical effect was observed.The life quality of patients was evaluated with 36-items short form health survey (SF-36) and sino-nasal outcome test-20 (SNOT-20). \n \n \nResults \nAt the last follow-up, the cure rate of the observation group was 84.4%, the improvement rate was 13.3%, the cure rate of the control group was 45.2%, and the improvement rate was 20.0%.The clinical efficacy of the observation group was significantly better than that of the control group (Z=7.291, P 0.05). \n \n \nConclusion \nThe clinical effect of ostimeatal complex surgery on chronic sinusitis under nasal endoscope is satisfactory.The overall symptoms and quality of life of the patients returned to normal, but the 5 major problems such as nasal mucus, mucus nose, bad sleep at night, nasal discharge backstreaming and inattention have not been solved thoroughly. \n \n \nKey words: \nOtorhinolaryngologic surgical procedures;\xa0Endoscopy;\xa0Paranasal sinus diseases;\xa0Ostimeatal complex;\xa0Chronic sinusitis;\xa0Clinical effect;\xa0Life quality