摘要
目的探讨经鼻内镜手术治疗慢性鼻窦炎、鼻息肉的临床疗效和相关影响因素。方法对207例慢性鼻窦炎鼻息肉患者实施鼻内镜手术治疗,术后随访1年。结果所有病例术后均经换药处理并经鼻内镜随访1年后,对治疗效果进行统计,治愈173例(83.6%),好转24例(11.6%),无效10例(4.8%),总有效率为95.2%。术后出现并发症:眼睑肿胀淤血3例,术后给予冷敷,24h后热敷,几天后消失;鼻窦出血2例,可能是由于血管收缩不良而导致;中鼻甲和鼻中隔粘连2例,经换药处理后得以解除。无严重并发症发生。讨论经鼻内镜手术治疗慢性鼻窦炎、鼻息肉,效果好、创伤小,熟悉鼻窦解剖、熟练手术操作、严格控制术中出血、加强术后随访对提高手术的治愈率起到关键性的作用。
Objective To evaluate the clinical effect and related clinical factors of endoscopic surgery for chronic sinusitis and polyps.Methods Totally 207 patients with chronic sinusitis and nasal polyps treatment for patients with endoscopic sinus surgery,patients were followed up for 1 year.Results All patients were handled by dressing and endoscopic follow-up 1 year later,on the statistical treatment,to cure 173 patients（83.6%）,improved in 24 patients（11.6%）,ineffective in 10 cases（4.8%） The total effective rate was 95.2%.Postoperative complications： 3 cases of eyelid swelling and congestion,after giving cold compress,24h later the heat compress and disappear after a few days;sinus bleeding in 2 cases may be due to vasoconstriction;middle turbinate and nasal septum in 2 cases,after the change drug treatment to be lifted.No serious complications occurred.Conclusions Endoscopic surgery for chronic sinusitis,nasal polyps,effective,minimally invasive,familiar with the sinus anatomy,skilled surgical procedure,strict control of blood loss and postoperative follow-up play a key to improve the cure rate of surgery.
出处
《医药论坛杂志》
2011年第14期56-57,60,共3页
Journal of Medical Forum
关键词
鼻内镜
鼻窦炎
鼻息肉
疗效
Nasal endoscopy
Sinusitis
Nasal polyps
Effect
