内窥镜鼻窦手术160例小结

Functional endoscpic sinus surgery

采用鼻内窥镜进行鼻窦手术160例,其中慢性复发性鼻窦炎患者103例,鼻息肉伴鼻窦炎患者49例,鼻窦囊肿8例。术后随访,复发性鼻窦炎患者64.1％治愈,30.1％明显好转;鼻息肉患者全部恢复正常通气,息肉复发率为10.2％;鼻窦囊肿患者全部治愈。并且提示,鼻内窥镜手术时,原则上应保留中鼻甲,但对于筛窦病变较重,气化的中鼻甲有积脓及呈息肉样改变者,则不宜再予保留。

One hundred and sixty cases of functional endoscopic sinus surgery (FESS) were analyzed. 103 cases were treated by FESS for recurrent sinusitis .49,for nasal polyp,and 8,for sinus cyst. All patients were followed up for half to one year. For the recurrent sinusitis, 60. 07% were cured.and 30. 09% were relieved appareatly. All the patients with nasal polyp gained normal nasal breath,but 10. 20% were recurrent. And all the patients with sinus cyst were cured. It is a principle to remain the middle turbinate in the FESS. But.it is no use to remain the middle turbinate when the pathological change of the ethmoid is severe ,and there is the pneumatizal middle turbinet with abcess and /or polyp.