修正性鼻内镜手术治疗复发性慢性鼻-鼻窦炎的临床分析

Clinical analysis of revision endoscopic sinus surgery for the treatment of recurrent chronic rhinosinusitis

目的探讨修正性鼻内镜手术治疗复发性慢性鼻-鼻窦炎的临床疗效分析。方法回顾性分析2011年1月~2016年1月收治的68例复发性慢性鼻-鼻窦炎患者的临床资料,所有患者均在鼻内镜下行规范化修正性手术,并在围手术期进行规范化的综合处理,对患者进行术后12个月以上随访,观察其对临床疗效的影响。结果68例复发性慢性鼻-鼻窦炎患者术后1年,不伴鼻息肉41例,总有效率为90.2%,伴鼻息肉27例,总有效率为81%,均未发生严重眶内及颅内并发症。结论鼻内镜手术疗效显著,具有十分重要的临床意义。

Objective To explore the clinical efficacy of revision endoscopic sinus surgery for recurrent chronic rhinosinusitis （CRS）. Methods Clinical data of 68 patients with recurrent CRS hospitalized in our department from Jan 2011 to Jan 2016 were analyzed retrospectively. All the patients received revision endoscopic sinus surgery and comprehensive management during perioperative period and were followed up more than 12 months. Results At one year after surgery, the effective rate for 41 recurrent CRS cases without nasal polyps was 90.2%, while that for 27 eases with nasal polyps was 81%. No serious orbital and intracranial complications occurred. Condusion With significant curative effect, revision endoscopic sinus surgery is very important for the treatment of recurrent CRS.