鼻内镜下手术治疗慢性鼻窦炎、鼻息肉180例

Endscopic surgery for chronic nasosinusitis and nasal polyps in 180 cases

目的探讨鼻内镜手术治疗慢性鼻窦炎、鼻息肉的疗效及相关影响因素。方法对实施内窥镜鼻窦手术并完成术后随防6个月以上的180例患者进行病历资料分析。其中Ⅰ型1期12例、2期15例、3期44例,Ⅱ型1期30例2、期43例、3期14例,Ⅲ型22例。结果治愈率Ⅰ型94.4%、Ⅱ型74.7%、Ⅲ型63.6%。结论鼻内镜手术治疗慢性鼻窦炎、鼻息肉切实有效,疗效与临床分型密切相关,规范的术后处理是提高治愈率的关键。

Objective To study the curative effect of endscopic sinus surgery（ESS） in treatment of chronic nasosinusitis and nasal polyps. Methods The clinical data of 180 cases subjected to ESS from 2003 to 2005 were retrospectively analyzed. Of them, 12 cases were Ⅰ type grade 1, 15 were Ⅰ type grade 2, 44 were Ⅰ type grade 3, 30 were Ⅱ type grade 1, 43 were Ⅱ type grade 2, 14 were Ⅱ type grade3 and22 were Ⅲ type. Results The curative rate was 94.4% for type Ⅰ, 74.7% for type Ⅱ and 63.6% for type Ⅲ （ P 〈0.01）. Conclusions The curative effect of ESS was successful. ESS is an effective method in the cure of chronic sinusitis and nasal polyps. The curative result is directly related to the type of diseases. Experienced technique is most important for a perfect operation, and after the operations, normative treatment can improve the cure rate.