腺样体切除术治疗儿童慢性鼻窦炎的疗效

Effect of adenoidectomy on pediatric chronic rhinosinusitis

目的探讨腺样体切除术治疗儿童慢性鼻窦炎（CRS）的疗效。方法将128例CRS患儿分成药物治疗组（n=64）和手术治疗组（n=64）。药物治疗组给予系统的药物治疗，手术治疗组在系统的药物治疗的同时，选择最佳手术时机行鼻内镜下行腺样体切除术。所有患者随访半年。结果药物治疗组治愈36例，好转12例，无效16例，有效率为75．00％；手术治疗组治愈46例，好转13例，无效5例，有效率为92．19％。结论系统规范的药物治疗有效，但系统、规范的药物治疗同时配合腺样体切除术疗效明显优于药物治疗组。

Objective To investigate the curative effect of adenoidectomy on pediatric chronic rhinosinusitis （CRS）. Methods One hundred and twenty-eight children with CRS were divided into two groups, drug treatment group （n = 64 ） and operation treatment group （n = 64 ）. The children in drug treatment group were given systemic medication. The patients in operation treatment group were treated with regulary drug and adenoidectomy by nasal endoscope. All patients were followed up for half a year. Results In drug treatment group, 36 patients were cured, 12 patients got better,16 patients were inva- lid, the effective rate was 75.00%. In operation treatment group, 46 patients were cured, 13 patients got better,5 patients were invalid, the effective rate was 92. 19%. Conclusions Regular drug treatment is effective for children with CRS. But the curative effect of adenoidectomy combined with treatment is better than regular drug treatment alone.