摘要
目的 探讨需行再次内镜鼻窦手术的原因 ,评价再次内镜鼻窦手术的疗效。方法 对114例 (16 1侧 )需行再次内镜鼻窦手术的患者术前行鼻内镜和鼻窦CT扫描检查 ,术后随访 2年以上。结果 114例 (16 1侧 )中复发性鼻窦炎 98例 (12 9侧 ) ,复发性鼻息肉 16例 (32侧 )。额隐窝狭窄 2例 (3侧 ) ,前组筛窦炎 18例 (2 4侧 ) ,前组筛窦炎和上颌窦自然开口堵塞 31例 (46侧 ) ,中鼻甲粘连 6例 (7侧 ) ,后组筛窦炎 18例 (2 4侧 ) ,后组筛窦和蝶窦炎 36例 (5 4侧 ) ,蝶窦炎 3例 (3侧 )。伴有鼻中隔偏曲者 15例。经 2年以上随访 ,复发性鼻窦炎者 88例 (111侧 )痊愈 ,10例 (18侧 )症状缓解 ,16例 (32侧 )复发性鼻息肉患者 11例 (2 2侧 )痊愈 ,5例 (10侧 )症状缓解。结论 行再次内镜鼻窦手术的原因主要是前次手术未彻底清除病变 (首先与术者经验不足有关 ) ;其次为鼻息肉病。再次内镜鼻窦手术效果满意 。
Objective To investigate common reasons for revision endoscopic sinus surgery(RESS) and evaluate the effect of RESS Methods Before the revision surgery 114 patients were examed by CT scans and nasal endoscopy, after surgery all the patients were followed up for more than 2 years Results There were 16 cases of recurrence of polyps, 98 cases of recurrence of sinusitis Among 114 cases there were 18 cases of anterior ethmoid sinuse disease, 2 frontal recess stenosis ,31 anterior ethmoid sinuse disease with maxillary ostium obstruction, 6 middle turbinate adhesion,18 posterior ethmoid sinuse disease, 36 posterior ethmoid sinuse disease with sphenoid sinuse disease, 3 isolated sphenoid sinusitis There were 15 cases with septal deviation 99 cases were successful and 15 unsatisfied Conclusion Sinus disease that was not completely resected during the original surgical procedure due to the surgeon′s less experience was the most common reason for the RESS, another reason was recurrent polyposis The results were very rewarding except nasal polyposis
出处
《中华耳鼻咽喉科杂志》
CSCD
北大核心
2002年第4期280-282,共3页
Chinese Journal of Otorhinolaryngology
关键词
慢性鼻窦炎
鼻息肉
内镜
鼻窦
再手术
Surgical procedures, endoscopic
Paranasal sinuses
Reoperation
