鼻内镜手术中鼻甲及上颌窦口不同处理的疗效比较

Different treatments of the middle turbinate and maxillary sinus in endoscopic sinus surgery and the curative effect

目的观察鼻内镜手术中不同的中鼻甲及上颌窦口处理方式对远期疗效的影响.方法对391例慢性鼻窦炎鼻息肉患者进行内镜鼻窦手术,术后随访0.5～2.5年.结果治愈328例(83.9%),好转53例(13.6%),无效10例(2.6%),总有效率97.5%.术后并发症主要为鼻腔粘连.结论鼻内镜术中鼻甲及上颌窦口的正确处理、术后综合治疗能提高治愈率,减少并发症.

Objective To observe the long-term therapeutic efficacy endoscopic sinus surgery with different treatments of the middle turbinate and maxillary sinus. Methods Endoscopic sinus surgery was performed in 391 patients with chronic sinusitis and nasal polypi, who were followed up for 0.5 to 2.5 years postoperatively. Results Of the patients receiving the operation, 328 were cured, 53 showed improvement, and 10 failed to respond to the treatment, with a total efficaty rate of 97.5%. The major complication of this surgery was nasal cavity adhesion. Conclusions Appropriate treatment of the middle turbinate and maxillary sinus in endoscopic sinus surgery with postoperative comprehensive therapy may enhance the therapeutic efficacy and reduce postoperative complications.