内窥镜鼻窦手术后术腔冲洗液对疗效的影响

Observations of the curative effect with various liquid for post operative irrigation of ESS of treating chronic sinusitis and nasal polyps

目的 :探讨内窥镜鼻窦手术 (ESS)后术腔冲洗液对疗效的影响。方法 :对行 ESS手术后坚持随访 3个月以上的 192例 (331侧 )慢性鼻窦炎鼻息肉 型 期患者 ,随机分为 3组 :术后分别用生理盐水 (A组 ) ,0 .5 %甲硝唑加地塞米松 (B组 ) ,鱼腥草注射液 (C组 )冲洗术腔 ,按照海口 (1997) ESS疗效标准进行评估。结果 :C组疗效优于其它两组 ,经χ2 检验组间差别有显著性意义 (P <0 .0 5 )。结论 :术后坚持冲洗治疗有重要意义 ;鱼腥草注射液冲洗疗效更为明显。

Objective:To explore the influence of liquid for post operative irrigation on the effect of ESS.Method:192 cases with chronic sinusitis and/or nasal polyps of groupIIstageII who had undergone the ESS from September,1998 to June,1999 and completed a3 month follow up were divided randomly into 3 groups to accept 3 different kinds of irrigation liquid.The evaluation of curative effect was according to the index of HaiKou ESS 97.Result:The curative effect of Herba Houttuyniae group was better than the other two.Conclusion:The post operative care is important and the irrigation liquid can affect the effect of ESS.