复发性鼻窦炎修正性鼻内镜手术

Revison endoscopic sinus surgery for recurrent sinusitis

目的探讨复发性鼻窦炎的原因及修正性鼻内镜手术的安全性。方法对48例复发性鼻窦炎实施修正性鼻内镜手术。结果在治疗48例中,治愈32例;好转11例;无效5例。结论术腔粘连、窦口狭窄闭锁、病灶残留是鼻窦炎术后复发的主要原因,修正性鼻内镜手术是治疗复发性鼻窦炎的有效方法。

Objective To investigate the cause of recurrent sinusitis, and the security of revison endoscopic sinus surgery. Methods Revison endoscopic sinus surgery was performed to 48 patients with recurrent sinusitis. Results Of 48 patients, 32 patients were successfully cured, 11 patients showed improvement, but there was no change in other 5 patients. Conclusion Cavity adhesions, sinus ostium stenosis or atresia, residual lesions are the main reason for recurrence sinusitis. Endoscopic sinus surgery is the effective way for treatment of recurrent sinusitis.