慢性鼻窦炎经鼻内窥镜手术的临床疗效观察

Endoscopic Sinus Surgery,Clinical Observation for Chronic Sinusitis and Polyps

目的 观察慢性鼻窦炎内窥镜手术的临床疗效 ,术前术后综合治疗及长期随访的重要性。方法 对330例 (5 6 7侧 )慢性鼻窦炎行鼻内窥镜鼻窦手术 ,术前术后综合治疗 ,术后随防 6个月～ 1年。结果 治愈 2 1 4例 ,占 6 4 8% ,好转 86例 ,占 2 6 1 % ,无效 30例 ,占 9 1 %。术后并发症主要为鼻腔粘连。结论 鼻内窥镜手术治疗慢性鼻窦炎鼻息肉具有较好的临床疗效 。

Objective To observe the long-term curative effect of endoscopic sinus surgery(ESS). Methods 330 cases(567 sides)of chronic sinus and nasal polyps were treated with ESS,and survey 6 months～1 year was followed up after operation. Results It was found that 214 cases were cured(64 8%),86 cases achieved symptomatic relief(26 1%),30 cases failed to respond to it(9 1%),and the main syndrome was the adhesion of nasal cavity. Conclusions The curative rate of ESS was high Proper operation,preoperative and postoperative combing treatment and regular following-up are the keys to improving the operation effect.