鼻内镜手术治疗青少年及儿童慢性鼻-鼻窦炎伴有鼻息肉远期疗效评估

The Long -term Curative effect Evaluation of Nasal Endoscopic Sinus Surgery inTeenagers and Children

目的：讨论青少年及儿童慢性鼻-鼻窦炎伴有鼻息肉患者接受功能性鼻内镜手术治疗的远期疗效。方法：通过对60例行功能性鼻内镜手术治疗的儿童及青少年慢性鼻-鼻窦炎伴有鼻息肉患者术后6个月、1年、18个月、2年的随访资料数据进行分析。结果：60例患者术后随访6个月复发2例，术后1年复发6例，术后18个月复发13例，术后2年复发21例。结论：少年儿童经规范药物治疗为手术适应证重要前提。保守治疗无效时行鼻内镜手术，疗效应进一步观察，其中手术技术和术后随访及综合治疗影响手术远期疗效。

Objective： To evaluate the long - term curative effect evaluation of nasal endoscopic sinus surgery in teenagers and children with chronic sinusitis. Methods ： A total of 60 teenagers and children include in this study. The postoperative follow - up time of 60 case was six month and one year and eighteen month and two year. Results： The 2 cases recurred by follow up six month. The 6 cases recurred by follow up one year. The 13 cases recurred by follow up eighteen month. The 21 cases recurred by follow up two years. Conclusion： The standard drug treatment is important premise for surgical indication in teenagers and children. When conservative treatment is invalid, the quality of endoscopic sinus surgery should be observe, surgical technique and postoperative follow - up and comprehensive treatment affect the results of endoscopic sinus surgery.