内窥镜鼻窦外科手术治疗后组筛窦及眼球后病变38例临床探讨

Treatment of posterior ethmoid sinus and postouiar pathological changes through endoscopic nasal surgery

目的 探讨内窥镜鼻窦外科手术治疗后组筛窦及眼球后病变的疗效。方法 使用国产内窥镜对 38例 ( 42侧 )病人施行手术治疗 ,其中鼻窦炎鼻息肉 30例 ( 34侧 )、外伤 5例 ( 5侧 )、肿瘤 3例 ( 3侧 )。肿瘤病人术后结合放疗 /化疗。结果 按照海口会议 ( 1997)临床分型分期标准 ,鼻窦炎鼻息肉治愈率 83 33 %、好转 10 0 %、无效 6 6 % ,外伤病人术后眼部症状消失、视力提高 4 2～ 5 0 ,肿瘤病人术后随访 2 4～ 48个月无复发。结论 内窥镜鼻窦外科手术是治疗后组筛窦及眼球后病变的理想方法。强调术前CT扫描检查。

Objective To study the effect of treatment of posterior ethronoid sinus and postocular pathological changes through endoscopic nasal surgery. Methods Using Chinese-made endoscope to perform operations on 38 cases(42 sides),of whom 30 suffered form nasosinusitis nasal polyp, 5 trauma (5 sides),3 cancers (3 sides),the latest three received also radiotherapy and chemouotherapy after operation. Results According to the ouifeuia established in Haikou Couference (1997), for nasosinusitis nasal polyp,the cure rate was 83.33%,inprovemeut 10.0% and failure,6.6%.After operation,the eye symptoms in traumatic patients diseppeared,eye sight raised by 4.2～5.0 in the visual test chart.The cancer patients followed up for 24～48 months had no relapse.Conclusions Endoscopic nasal surgery an the ideal solution to the treatment of posterior ethmoid sinus and postocular pathological changes.The importance of CT scanning before operation,mastering technical skill during operation and proper local dressing change afterwards should be stressed.