鼻内镜手术治疗慢性鼻窦炎的临床研究

目的探讨鼻内窥镜鼻窦手术治疗不同临床分型分期的慢性鼻窦炎的疗效及手术并发症，以及变态反应炎症与鼻内镜手术疗效的关系。方法对符合诊断标准的87名患者常规术前用药，行鼻内镜手术，术后定期内镜下随访。结果Ⅰ～Ⅲ型治愈率分别为88.24％、84.38％、57.14％。Ⅰ型与Ⅲ型、Ⅱ型与Ⅲ型总有效率比较均有显著性差异（P〈0.05）；Ⅰ型与Ⅱ型总有效率比较，差异无显著性（P〉0.05）；变应性体质组和非变应性体质组有效率分别为87.10％和60.00％，两组疗效比较有显著性差异（P〈0.05）；术后出现轻微并发症3例，无其他严重并发症。结论鼻内镜鼻窦手术是治疗慢性鼻窦炎的有效方法，其疗效与临床分期、变态反应等因素有关系。

Objective To discuss curative effect of endoscopic sinusitis surgery （ESS） curing chronic sinusitis and the relation between different clinical types and allergy. Methods 87 patients who suffered from chronic sinusitis and meeting the standard of the diagnosis before surgery and then give them endosopic surgery, follow regularly up the patients after endoscope. Results Cure rate was 88.24% for type 1, 84.38% for type 2, 57.14% for type 3, there was no significant statistical difference in cure rate between typeland type2, there was significant statistical difference in cure rate between typel and type3, type2 and type3; cure rate was 60.00% for the allergic group and 87.1% for the group who was not allergic, there was significant statistical difference in cure rate between the two groups; three cases of minor complications, no other serious complications. Conclusion ESS is an effective method of curing chronic sinusitis, and the effect was influenced by clinical types and allergy.