摘要
目的:探讨鼻内镜手术治疗鼻窦炎鼻息肉的疗效及影响疗效的相关因素。方法:对680例患者按照海口标准分型,其中Ⅰ型228例,Ⅱ型336例,Ⅲ型116例。术前进行围手术期处理,采用鼻内镜手术,术后进行综合治疗,随访6个月以上,根据海口疗效标准进行评估。结果:Ⅰ型治愈率为91.11%(210/228),Ⅱ型治愈率为75%(252/336),Ⅲ型治愈率为51.72%(60/116),3型之间比较治愈率有统计学意义(P<0.05)术中出血严重2例,术后眼睑肿胀瘀血7例,鼻腔黏连4例,进行相应处理后全部治愈。结论:术前病情评估、准确临床分型和围手术期及术后综合治疗是提高治愈率的重要因素。
Objective To investigate the therapeutic effect of endoscopic surgery （ESS） on the treatment of sinusitis and nasal polyps and its correlating factors Methods 680 patients in this study were grouped into three types based on Haikou standard.228 cases were Type Ⅰ , 336 and 116 were Tpye Ⅱ and Tpye Ⅲ ,respectively.In atl cases,proper preoperative treatment was adopted; ESS was performend followed by a combined postoperative treatment.The therapeutic effect was evaluated base on the Haikou standard more than six months after operation.Resuits The clinical cure rates of type Ⅰ , Ⅱ and Ⅲ were 91.11%, 75% and 51.72%,respectively.The differences of cure rates beween different groups were statistically significant （P 〈 0.05 ）.No scvenre introope2rative complication occurred Postoperative eomplieations were observed in 2cases with hemorrhage,7 cases with ocular complications,4 cases with synechia nasal.All complications were treated and cured with proper treatment.Conclusion precise preoperative assessment of the state of chronic rhinosinusitis and adequate preoperative and postoperative treatment are essential to increase the cure rate of ESS on chronic rhinosinusitis.
出处
《内蒙古中医药》
2011年第1期67-68,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
鼻内镜手术
鼻窦炎
鼻息肉
疗效
Endoscopic surgery,Sinusitis,Nasal polyps,curative effect
