12例HIV阳性的鼻窦炎患者行鼻内镜手术的临床分析

Clinical analysis of endoscopic sinus surgery on 12 HIV-positive patients with sinusitis

目的:探讨HIV阳性的鼻窦炎患者行鼻内镜手术治疗的可行性。方法:对12例行鼻内镜手术的HIV阳性患者临床表现、治疗方法及疗效进行回顾性总结分析。结果:随访1~6年,8例患者完全痊愈,1例好转,3例复发,有效率达75%,患者生存质量明显提高。结论:对于HIV阳性的鼻窦炎患者,在符合手术适应证的情况下,如果主要检查结果正常并能充分做好围手术期防护,可同HIV阴性患者一样行鼻内镜手术治疗,且疗效确切。CD4^+T淋巴细胞计数不应被看作为手术的绝对禁忌证。

Objective：To explore the feasibility of endoscopic sinus surgery on HIV-infected patients.Method：Twelve positive patients suffering from sinusitis undergoing endoscopic treatment were retrospectively analyzed.And the clinical characteristics,treatment and therapeutic effects were summarized.Result：After follow-up up for 1-6 years,8 cases were cured,1 case was improved,and 3 cases recurred three months after operation.The effective rate was 75%.The quality of life of patients was improved.Conclusion：For HIV-positive sinusitis patients with surgical indications,endoscopic surgery should be considered if general examinations are normal and full perioperative protections can be taken,and the therapeutic efficacy is definite.CD4^＋T cell count should not be regarded as an absolute contraindication of surgery.