鼻内镜手术治疗慢性鼻窦炎、鼻息肉71例疗效观察

Clinical curative effect of endoscopy in treatment of 71 patients with chronic sinusitis and nasal polyps

摘要: 目的: 观察鼻内镜手术治疗慢性鼻窦炎、鼻息肉的临床疗效。方法: 对71例(128侧)慢性鼻窦炎、鼻息肉患者行鼻内镜手术,术后随访1年。结果: 治愈51例,好转13例,无效7例,总有效率90.1%。手术并发症为眶内淤血4例,术后并发症为鼻腔粘连6例。结论: 鼻内镜手术治疗慢性鼻窦炎鼻息肉具有良好临床疗效。术前准备充分,手术操作熟练准确,术后定期随访,能提高疗效,减少并发症。

Abstract: Objective: To observe the clinical curative effect of endoscopic sinus surgery(ESS) in treatment of chronic sinusitis and nasal polyps.Methods: Seventy-one patients(128 sides) with chronic sinusitis and nasal polyps were treated with ESS and were followed up for one year postoperatively.Results: Fifty-one(71.8%) patients were cured.Improvement was achieved in 13 patients(18.3%) while no effect was achieved in 7 patients(9.9%).The total effective rate was 90.1%.The intraorbital congestion was found in(4 patients) intraoperatively,and the adhesion of nasal cavity was found in 6 patients postoperatively.Conclusions: The ESS is successful in the treatment of chronic sinusitis and nasal polyps.The sufficient preparation before surgery,the excellent surgical skills in surgery and the regular follow-up after surgery can reduce complications effectively.