鼻内窥镜鼻窦手术几项与疗效有关因素的探讨

Efectsofendoscopicsinussurgeryandrelativefactors

为探讨影响鼻内窥镜鼻窦手术疗效的有关因素，在住院手术患者中无差别延续检查以下项目：①末梢血Ｔ淋巴细胞亚群测定（１００例）；②鼻息肉免疫组化检查（１０３例）；③鼻息肉组织病理分类（１０３例）；④ＣＴ筛窦分型（１０３例）。病例中男女之比为２∶１，年龄最小７岁，最大７２岁。采用全身麻醉１０７例，局部麻醉１８９例。随访９～２２个月，临床治愈率为８５．７％，临床好转率为９９．３％。ＣＴ筛窦分型空泡型者临床治愈率高；鼻息肉组织病理学分类Ⅰ期愈合病例中纤维型优于混合型；鼻息肉免疫学分类淋巴细胞浸润无反应型临床治愈率高。对建立慢性鼻窦炎的临床分期标准、ＣＴ筛窦分型、鼻息肉的组织病理学检查及免疫学分类、术后随访与综合治疗等进行了讨论。

Theresultsof296endoscopicsinussurgery(ESS)fromOct.1991toMay.1993wereanalysed.Pre-andpost-operativeexaminationsinthisserieswereasfolows:①PeripheralbloodTlymphocytesubclusterstest(100cases);②Immunohistochemicaltestofnasalpolyp(103cases);③Pathologicexaminationofnasalpolyp;④CTscantyping(103cases).Menandwomenratiowas2∶1andtheiragesvariedfrom7to72years.107patientsweregivengeneralanesthesiaand189pa-tientslocalanesthesia.Theclinicalstagesofchronicsinusitisweredividedas:53.7%(Ⅳ),29.3%(Ⅱ),10.9%(Ⅲ)and6.1%(Ⅰ).Theclinicalcurativeratewas85.7%(126/147cases),andimprov-ingratewas99.3%.Thestandardofclinicalstageofchronicsinusitis,therelativefactorsofprogno-siswiththeresultsofESS,pathologicaltest,immunohistochemicaltestandfolow-upafterESSwerediscussed.