功能性鼻内镜术同期处理鼻中隔及中下鼻甲的疗效分析

Curative effect analysis on simultaneously dealing with middle and inferior turbinate and nasal septum during FESS

目的:探讨功能性鼻内镜术(FESS)同期处理鼻中隔及中、下鼻甲的手术方法和疗效。方法:对198例鼻窦炎、鼻息肉患者行鼻内镜手术,其中97例单纯行FESS(对照组),另101例行FESS同期处理鼻中隔和中、下鼻甲(观察组)。术后对两组的疗效进行对比观察。结果:随访6～24个月,观察组总有效率明显高于对照组(P<0.01)。结论:FESS同期处理鼻中隔及中、下鼻甲是治疗鼻窦炎、鼻息肉的有效方法,可明显改善鼻腔通气引流,减少鼻腔粘连,提高鼻内镜手术疗效。

Objective：To discuss the endoscopic surgical treatment and its effect on dealing with middle and inferior turbinate and nasal septum during functional endoscopic sinus surgery（FESS）.Methods：198 cases of chronic sinusitis and polyps were treated with FESS.Among them,101 cases were randomly elected to deal with nasal septum and middle and inferior turbinate during FESS（rectification group）,and the other 97 cases（control group） received pure FESS.The curative effects were compared between 2 groups.Results：Following up for 6-24 months postoperatively,the curative effect in the rectification group was better than that in the control group（P 0.01）.Conclusion：Simultaneously dealing with anatomical variation influencing the nasal cavity function in FESS is an effective operation to treat sinusitis and polyps,which can significantly improve the ventilation function and drainage,decrease the adhesion of nasal cavity and increase the effect of FESS.