摘要
目的:探讨腺样体切除在小儿慢性鼻窦炎治疗中的作用。方法:收治小儿慢性鼻窦炎患者98例,均接受腺样体切除术,回顾分析临床资料。结果:随访半年,参照1997年海口会议鼻窦炎疗效判断标准,98例中治愈64例(65.3%),好转29例(29.6%),无效5例(5.1%),术中无任何并发症,总有效率94.9%。结论:Ⅰ型、Ⅱ型1期、Ⅱ型2期的小儿慢性鼻窦炎的治疗以切除阻塞鼻腔通气的腺样体为主,配合积极的内科治疗可以达到治愈小儿慢性鼻窦炎的目的。Ⅱ型3期及Ⅲ型患者应行鼻内镜下鼻窦手术加腺样体切除术。
Objective：To evaluate the role of adenoidectomy in the treatment of pediatric chronic rhinosinusitis.Methods：The clinical data of 98 children patients with chronic rhinosinusitis and adenoid hyoertrophy treated in our department from May 2008 to Nomover 2011 were analyzed retrospectively.Results：All patients were followed up for a period of 6 months. According to the criteria of therapeutic outcome for chronic rhinosinusitis（1997, Hainan）,the cure rate was 65.3% （64cases）, 29 cases（29.6% ）were im-proved.The total effective rate was 94.9% ,No serious complicatians occurred.Conclusions： Adenoidectomy accompanied with medicine treatment may faciliate the cure of prdiatric chronic rhinosinusitis of type I , II 1, II 2.Those of II 3, m may need endoscopes sinus surgery and adenoidectomy.
