腺样体切除术对儿童鼻窦炎转归的影响

Impact of adenoidectomy on outcomes of children 's rhinosinusitis

目的：探讨鼻内镜下腺样体切除在治疗儿童急性复发性鼻窦炎及慢性鼻-鼻窦炎中的作用。方法：80例儿童急性复发性鼻窦炎及慢性鼻-鼻窦炎患者按照是否行腺样体切除术治疗均分为两组,一组行腺样体切除,术后配合药物治疗;另外一组单纯药物连续治疗2～3月。对两组患者在治疗后随访6个月,并对比分析两组患者的疗效及转归。结果：手术组中痊愈31例,好转7例,痊愈率77.5%,有效率95%,急性复发性鼻窦炎全部痊愈且随访半年无复发;对照组痊愈11例,好转18例,痊愈率27.5%,有效率72.5%。结论 ：在治疗儿童急性复发性鼻窦炎及慢性鼻-鼻窦炎的过程中,对肥大的腺样体进行手术切除配合药物治疗疗效明显优于单纯药物治疗。

Objective： To explore the effect of nasal endoscopic adenoidectomy on the treatment of children＇s acute recurrent nasal sinusitis and chronic nasal sinusitis. Methods： 80 children with acute recurrent nasal sinusitis and chronic nasal sinusitis were divided into surgery group,received adenoidectomy combined with drug therapy, and control group, accepted only drug treatment for 2 to 3 months. The patients were followed-up for 6months, and treatment results were analyzed. Results： In surgery group 31 patients cured, 7 cases improved, the cure rate was 77.5% and efficiency rate was 95%. The acute and recurrent sinusitis all healed up in six months without recurrence. In control group 11 cases cured, 18 cases improved, the recovery rate was 27.5% and the efficiency rate was 72.5%. Conclusion： In the course of the treatment of children with acute recurrent sinusitis and chronic rhinosinusitis, the surgical resection of hypertrophy of the adenoids combined with drug treatment was better than medication only.