影响内窥镜鼻窦手术远期疗效的原因分析

The analysis of long-term curative effect in 201 cases of endoscopic sinus surgery

目的 :探讨影响经鼻内窥镜鼻窦手术疗效的原因。方法 :采用经鼻内窥镜手术治疗慢性鼻窦炎、鼻息肉 2 0 1例 (35 3侧 ) ,术后系统换药 ,结合局部用药及鼻窦冲洗。结果 :随访 1～ 2年 ,其中治愈 134例 (6 7.7% ) ,好转41例 (2 0 .4% ) ,无效 2 6例 (12 .9% )。结论 :提高鼻内窥镜手术操作技术 ,术后系统换药 ,局部用药及冲洗 ,是提高内窥镜鼻窦手术疗效的三个重要环节。

Objective:To analyze the long term curative effect of endoscopic sinus surgery (ESS), and to study the factors related to the defeat of endoscopic sinus surgery.Method:201 cases(353 sides)of chronic sinusitis and nasal polyps were treated with ESS,and were treated by taking the nasal cavity as a whole unit.Result:Following up survey from 12 months to 24 months postoperatively,it was found that 108 cases were cured ( 53.7 %),82 cases achieved symptomatic relief( 40.8 %),11 cases remained failure ( 5.5 %).Conclusion:It is very important to improve the ESS technique in order to reduce the recurrence of nasal polyps and sinusitis and to improve the curative effect of ESS,in addition,the treatment after operation is also indispensable to successful surgery.