内窥镜鼻窦手术治疗慢性鼻窦炎1800例疗效分析

目的 探讨鼻内窥镜手术治疗慢性鼻窦炎的疗效及影响因素。方法 对 1999～ 2 0 0 2年间完成随访的 180 0例慢性鼻窦炎内窥镜手术患者进行临床分析。按照海口标准Ⅰ型患者 2 82例 ,Ⅱ型 10 6 4例 ,Ⅲ型 4 5 4例 ;在局麻下完成手术 16 94例 ,全麻下完成手术 10 6例。术后随访 3～ 14个月 ,平均 5 .5个月。结果 治愈率Ⅰ型 94 .0 % ,Ⅱ型 82 .2 % ,Ⅲ型 77.3% ,三型之间相差非常显著 (P <0 .0 1) ,出现手术并发症者 74例 (4 .1% )。结论 鼻内窥镜手术是治疗慢性鼻窦炎的有效方法 ,疗效与临床分型密切相关。

Treatment of Allergic Fungal Sinusitis：a Report of 31 Cases

Objective: To evaluate the effects of different surgical procedures on allergic fungal sinusitis. Methods: Thirty-one patients with allergic fungal sinusitis under endoscopic sinus surgery(24 cases) and Caldwell-Luc operation(7 cases) after medical treatment were investigated. Results: No complication was observed during one year's follow-up. No patient who conducted endoscopic sinus surgery reacurred and 3 patients who received traditional surgery required a second operation. Conclusion: This confirmed endoscopic sinus surgery provided a mini-traumatic and effective treatment. Combined treatment of surgical and medical ways was useful to the development of allergic fungal sinusitis.