2023年2月第30卷第2期·论著·（临床工程）鼻内镜下微创手术治疗鼻腔肿瘤的效果及对术后并发症的影响张鹏翔1，崔相琴2（1河南省濮阳市范县人民医院耳鼻喉科，河南濮阳457500；2濮阳市妇幼保健院儿科，河南濮阳457000）【摘要】目的探讨鼻内镜下微创手术治疗鼻腔肿瘤的效果及对患者术后并发症的影响。方法60例鼻腔肿瘤患者随机分为两组各30例，对照组实施传统开放手术治疗，观察组实施鼻内镜下微创手术治疗，比较两组的临床指标、嗅觉功能及术后并发症。结果观察组的手术时间、住院时间均短于对照组，术中出血量少于对照组，术后CCCRC评分均高于对照组，术后并发症发生率低于对照组（P<0.05）。结论鼻内镜下微创手术治疗鼻腔肿瘤可有效改善患者的嗅觉功能，促进术后恢复，降低并发症风险。【关键词】鼻内镜下微创手术；鼻腔肿瘤；嗅觉功能；术后并发症中图分类号：R739.62文献标识码：Adoi:10.3969/j.issn.1674-4659.2023.02.0147EffectofMinimallyInvasiveSurgeryUnderNasalEndoscopeintheTreatmentofNasalTumorandItsImpactonPostoper-ativeComplications//ZHANGPengxiang1,CUIXiangqin2(1DepartmentofOtorhinolaryngology,PuyangFanxianPeople'sHospital,Puyang457500,China;2DepartmentofPediatrics,PuyangMaternalandChildHealthHospital,Puyang457000,China)[Abstract]ObjectiveToexploretheeffectofminimallyinvasivesurgeryundernasalendoscopeinthetreatmentofnasaltumoranditsimpactonpostoperativecomplicationsofpatients.Methods60patientswithnasaltumorwererandomlydividedintotwogroups,with30casesineachgroup.Thecontrolgroupwastreatedwithtraditionalopensurgery,andtheobservationgroupwastreatedwithminimallyinvasivesurgeryundernasalendoscope.Theclinicalindicators,olfactoryfunctionandpostoperativecomplicationswerecomparedbetweenthetwogroups.ResultsTheoperationtimeandhospitalizationtimeoftheobservationgroupwereshorterthanthoseofthecontrolgroup,theintraoperativebloodlossamountwaslessthanthatofthecontrolgroup,thepostoperativeCCCRCscoreswerehigherthanthoseofthecontrolgroup,andtheincidenceofpostoperativecomplicationswaslowerthanthatofthecontrolgroup(P<0.05).ConclusionsMinimallyinvasivesurgeryundernasalendoscopeinthetreatmentofnasaltumorcaneffectivelyimprovetheolfactoryfunctio...
