慢性鼻窦炎鼻内镜术后嗅觉功能转归的研究进展

Research progress on the olfactory function outcomes after endoscopic sinus surgery for chronic rhinosinusitis

摘要:

嗅觉功能障碍是慢性鼻窦炎(CRS)患者就诊时的常见主诉之一，不仅会降低患者的生活质量，甚至会引起焦虑和抑郁等不良情绪的发生。内镜鼻窦手术(ESS)在慢性鼻窦炎的治疗中具有重要的地位，国内外大量研究表明，ESS对伴嗅觉功能障碍的CRS患者嗅觉改善的有效率为25%～100%，变化范围较大，而影响CRS患者嗅觉功能的各项主客观指标也是临床所关注的问题。本文旨在对CRS患者鼻内镜术后嗅觉功能转归的影响因素的研究进展进行综述,以期对临床治疗提供帮助。

Abstract:

Olfactory dysfunction is one of the common complaints of patients with chronic rhinosinusitis (CRS). Olfactory dysfunction not only reduces the patient’s quality of life, but even cause adverse emotions such as anxiety and depression. Endoscopic Sinus Surgery (ESS) has an important role in the treatment of CRS. A large number of studies at home and abroad have shown that the effective rate of ESS for olfactory improvement in CRS patients with olfactory dysfunction ranges from 25% to 100%, with a wide range of variation. Moreover, various subjective and objective indicators affecting the olfactory function of CRS patients are also issues of clinical concern. This paper reviews the research progress on the factors influencing olfactory function after nasal endoscopic surgery in CRS patients. The aims to provide assistance for clinical treatment of CRS.