内窥镜鼻窦手术160例及中药辅佐

Observation of Operative Treatment of 160 Nasosinusitis Patients under Endoscope and the Adjuvant Action of Chinese Herbal Medicine

采用内窥镜进行具窦手术加中药辅佐治疗160例患者（A组），与单纯行内窥镜鼻窦手术66例患者（B组）进行术后0．5～1年随访及内窥镜检查显示：A组与B组中复发性耳窦炎患者治愈率分别为84．1％与60．0％，鼻窦炎伴鼻息肉患者复发率分别为10．2％与21％，鼻窦囊肿患者复发率分别为0％与16.7％．以上均经x2检验及统计学处理（P＜0．01），差异显著．表明中药对内窥镜鼻窦手术的辅佐，明显减轻患者症状，降低了复发率。并且提示，鼻内窥镜手术时，对气化的中鼻甲有积脓及呈息肉样改变者，则不宜再予保留。

In this paper authors report that the effect of operative treatment of nasosinusitis under endscope and the adjuvants action by medicthel herbs.160 patients with chronc nasosinusitis complicated by nasal polyp or nasal cyst (group A) were treated by this therapy and were compared with 66 patients (group B) the only by operative treatment under endoscope with out adjuvant by medicinal herbs.After operation,in following up 6-12 months,the repeated endoscopy showed that the cure rate of chronic nasosinusitis in group A and group B were 84.1% and 60%, respectively.The relapse rate of nasosinusitis complicated by nasal polyp in group A and group B were 10.2% and 21%, respectively.The relapse rate of nasosinusitis complicated by nasal cyst in group A and group B were 0% and 16.7%, respectively.Significant difference was shown between the two groups, (P<0.01).The results suggest that medicinal herbs have beneficial adjuvant action, it may relieve symptorns of patients and decrease the relapse rate of this il1s. At the same time,authors suggest that during the operation,if found the middle nasal concha with empyema or polyiform degeneration should not be retained.