青少年慢性鼻窦炎经鼻内镜手术治疗分析

Clinical Efficacy of Nasal Endoscopic Surgery in Adolescence with Chronic Sinusitis

目的:总结经鼻内镜外科手术治疗青少年慢性鼻窦炎的疗效,探讨青少年慢性鼻窦炎最佳治疗途径。方法:回顾性分析本院耳鼻咽喉-头颈外科收治46例青少年慢性鼻窦炎经鼻内镜外科手术治疗的临床资料。结果:术后随诊6个月～1年,按照1997年中华医学会耳鼻咽喉科分会制订标准(海口)标准:治愈39例(85%),好转5例(11%),无效2例(4%),总有效率96%。结论:青少年鼻窦炎经系统保守治疗无效应采用鼻内镜下微创手术治疗。鼻内镜外科手术治疗青少年鼻窦炎具有小范围、精细和微创及术后疗效肯定等优点,术中应建立宽敞的术腔入路以利于术后换药及避免术腔粘连,术后随访及药物辅助治疗也是手术成功不可缺少的重要组成部分。

Objective： To evaluate the efficacy of nasal endoscopic surgery （NES） in adolescence with chronic sinusitis,in search of an optimal option for treatment of the disease. Methods：A review was conducted of clinical data from 46 pediatric patients with chronic sinusitis treated with NES in our department. Results ： All patients were followed up for a period of 6 months to I year. According to the Haikou criteria developed by CMA Society of Otorhinolaryingology ,39 cases （85%） were cured,5 （ 11% ） improved,and 2 （4%） appeared no changed,with a total rate of response being 96%. Conclusions ： NES as a mini-invasive, dedicate procedure with definite efficacy, should be considered for adolescent chronic sinusitis not responding to conservative treatments. A wide approach to affected lesions favoring postoperative treatment and avoiding adhesion, a regular follow up and adjunctive medication after operation may be indispensable for successful outcome after surgery.