KẾT QUẢ ĐIỀU TRỊ VIÊM XOANG BƯỚM MẠN TÍNH BẰNG PHẪU THUẬT NỘI SOI TẠI BỆNH VIỆN TAI MŨI HỌNG CẦN THƠ VÀ BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ NĂM 2021 – 2022

Abstract

Background: Sphenoid sinusitis is a very common disease and can lead to serious complications. Objective: To evaluate the results of chronic sphenoid sinusitis by endoscopic surgery at Can Tho Otolaryngology Hospital and Can Tho City General Hospital in 2021-2022. Materials and methods: A cross-sectional descriptive study in 45 patients with chronic sphenoid sinusitis indicated for laparoscopic surgery. Results: 73.3% of patients had surgery time less than 60 minutes, the average number of days in hospital was 6 days. Among the types of surgery performed, the sphenoid sinus opening has a frequency of 100%. Sinus opening surgery combined with polypectomy accounted for the highest rate of 37.8%. The surgical site on 2 sides and 1 side were 66.7% and 33.3%, respectively. Type 2 sphenoid sinus surgery (64.4%) accounted for more than type 1 (35.6%). The majority of the sphenoidal sinus openings were completely blocked (42.2%). Lesions in the sphenoid sinus were mainly clear mucus (48.9%). 15.6% of patients had bleeding complications after surgery. The results of treatment according to functional and physical symptoms using the LUND - KENNEDY scale decreased markedly over time from the first week, the second week, the fourth week and the twelfth week. Overall surgical results were assessed as being good, accounting for 3 months. 24.4% in the first week after surgery and increased to 100% in the 12th week. Conclusion: The endoscopic surgery for rhinosinusitis was performed quickly, safely, with good recovery efficiency, gradually increasing after 12 weeks of follow-up.