慢性鼻窦炎鼻息肉鼻内镜手术疗效分析

Analysis of the chronic rhinosinusitis with the nasal polypsis and the nose mirror surgery chinical curative effect

目的:探讨慢性鼻窦炎、鼻息肉鼻内镜手术的临床疗效。方法:对500例慢性鼻窦炎、鼻息肉行常规副鼻窦冠状位CT扫描及鼻内镜检查,按照海口标准进行分型分期,常规鼻内镜手术,术后随访1年。结果:500例慢性鼻窦炎、鼻息肉中Ⅰ型143例,治愈125例,好转17例,无效1例。Ⅱ型276例,治愈196例,好转45例,无效35例。Ⅲ型81例,治愈34例,好转25例,无效22例。结论:慢性鼻窦炎Ⅰ～Ⅲ型,手术疗效呈递减趋势,病变广泛和复发型病变的手术疗效差于单发型鼻窦炎。

Objective ：To explore chronic rhinosinusitis with the nasal polypsis,and the nose mirror surgery clinical curative effect. Methods：To 500 example ehronic rhinosinusitis with the nasal polysis,the nose polyp good convention paranasal sinus coronal position with CT and inspect the nose the mirror,group by stages according to the seaport standard,make a foUow-up visit for a year after the conventional＇nose mirror surgery.Results ：Of 500 example chronic rhinosinusitis with the nasal polypsis.Type Ⅰ of 143 examples, 125 examples cured,17 examples better,1 example inefficient.Type Ⅱ of 276 examples,196 examples cured,45 examples better,35 example inefficient.Type Ⅲ of 81 examples,34 examples cured,25 examples better,22 example inefficient.Coneluslon：Chronic the curative effect of chronic rhinosinusitis Ⅰ -Ⅲ the surgery curative of the windspread pathological change and the recrudescence pathalogical change is worse than that of the single shot nasosinusitis.