鼻咽癌治疗后鼻窦炎鼻内镜手术前后处理与疗效

Endoscopic sinus surgery for sinusitis after radiotherapy in patients with nasopharyngeal carcinoma

目的探讨提高鼻咽癌治疗后鼻窦炎鼻内镜手术前、后疗效的方法。方法回顾性分析2006年4月～2009年10月共36例鼻咽癌治疗后鼻窦炎患者,鼻内镜手术治疗情况和随访结果,分析其与疗效的关系。结果随访10～36个月,28例治愈,治愈率77.8%;4例好转,好转率11.1%;4例无效,无效率11.1%。总有效率为88.9%。术后并发症主要为鼻腔粘连。结论鼻咽癌治疗后鼻窦炎手术前、后合理用药,恰当的术后处理能提高疗效,有利于提高鼻咽癌患者放疗后的生活质量。

OBJECTIVE To study the perioperative management and the effectiveness of endoscopic sinus surgery for sinusitis after radiotherapy in patients with nasopharyngeal carcinoma.METHODS The clinical data and follow-up results of 36 patients with sinusitis after radiotherapy for nasopharyngeal carcinoma treated with endoscopic sinus surgery from April 2006 to October 2009 were reviewed retrospectively.RESULTS The patients were followed-up for 6 to 36 months.Twenty- eight patients were completely cured（77.8%）,4 were improved（11.1%） and 4（11.1%） were no effect.The most frequently documented post-operative complication was the adhesion of nasal cavity.CONCLUSION The rational perioperative medication therapy and management can improve the efficacy of endoscopic sinus surgery for patients with sinusitis after radiotherapy for nasopharyngeal carcinoma and the quality of life of the patients.