摘要
目的：研究鼻内镜下治疗复发性Ⅲ型慢性鼻-鼻窦炎鼻息肉的临床疗效。方法：收治177例复发性Ⅲ型慢性鼻-鼻窦炎鼻息肉患者,结合鼻窦CT和鼻内镜下情况,了解复发鼻腔鼻窦解剖变异的形态,进行规范性术前治疗、鼻内镜下Fess手术以及处理相关鼻腔、鼻中隔、鼻甲等解剖变异治病因素。术后规范用药治疗,合理进行鼻腔护理。术后跟踪复查处理半年-1年的情况。结果：随访0.5-1年,177例患者中175例治愈,2例好转,坚持2年跟踪复诊治愈,治愈率98.8%。结论：术前规范治疗,提高术者手术技巧,经鼻内镜下Fess手术及处理变异的鼻腔、鼻中隔、鼻甲等相关因素,术后处理和定期跟踪复查处理,复发性Ⅲ型慢性鼻-鼻窦炎鼻息肉效果满意,术前、术中、术后及跟踪复查处理决定治疗效果。
Objective To study the endoscopic treatment of recurrentⅢtype of chronic rhinosinusitis and nasal polyps clinical curative effect. Methods 177 hospitalized cases of recurrentⅢin patients with chronic rhinosinusitis,nasal sinus under nasal endoscope combined with CT and the situation,understand the recurrence of nasal anatomic variation of morphology,standard preoperative treatment,endoscopic FESS operation and processing of nasal cavity,nasal septum,nasal anatomic variation in the treatment factors,operation after the standard drug treatment,nasal cavity nursing,postoperative follow—up examinations and treatment of -1 in the first half of year. Results during the 0. 5-1 years of follow—up,177 patients 175 were cured,2 cases improved,adhere to the 2 years tracjing were cured,the cure rate was 98. 8%. Conclusion Preoperative standard treatment,improve operation technique,variation of the endoscopic FESS operation and the treatment of nasal turbinate,nasal septum,and other related factors,postoperative treatment and regular follow—up examinations and treatment of recurrentⅢ,chronic sinusitis and nasal polyps is satisfactory,the preoperative,intraoperative,postoperative and follow—up the decision on review treat-ment effect.
出处
《吉林医学》
CAS
2015年第6期1122-1123,共2页
Jilin Medical Journal
