鼻内镜手术治疗慢性鼻窦炎鼻息肉的疗效分析(附685例报告)  

Curative effects of endoscopic sinus surgery for chronic sinusitis and polyps

作　　者：黎万荣[1] 殷泽登[1] 黄英[1] 刘水明[1] 覃刚[1] 张薇[1] 

机构地区：[1]泸州医学院附属医院耳鼻咽喉-头颈外科,四川泸州646000

出　　处：《中国内镜杂志》2004年第7期28-30,33,共4页China Journal of Endoscopy

摘　　要：目的评估鼻内镜手术治疗慢性鼻窦炎、鼻息肉的疗效.方法回顾分析1994年12月～2002年12月间685例(1327侧)慢性鼻窦炎、鼻息肉或两者兼有者的鼻内镜手术治疗情况和近期随访结果.结果随访6个月～1年,Ⅰ型治愈81例(81/99,81.8%),好转18例(18/99,18.2%);Ⅱ型治愈335例(335/408,82.1%),好转59例(59/408,14.5%),无效7例(7/408,1.7%),复发7例(7/408,1.7%);Ⅲ型治愈142例(12/178,79.8%),好转24例(24/178,13.5%),复发12例(12/178,6.7%).Ⅰ～Ⅲ型总有效率为96.2%(659/685).93.5%的患者术后获得嗅觉的恢复或改善.结论鼻内镜手术治疗慢性鼻窦炎和鼻息肉可以获得较好的疗效,为防止息肉和炎症复发提供了技术上的保证,有利于鼻及鼻窦生理功能的维护和改善.Objective: To evaluate the treatment of endoscopic sinus surgery (ESS) for chronic sinusitis and nasal polyps. Methods: A retrospective analysis was conducted in 685 cases (1327 sides) from December 1994 to December 2002 which were treated with ESS for chronic sinusitis and/or nasal polyps. Results: All patients were interviewed with a follow up time of three months to a year postoperatively, the patients in 81.8% of the cases of the cases of type Ⅰ were cured, improved in 18 (18.2%); the patients in 82.1% of the cases of type Ⅱ were cured, improved in 59 (14.5%), no improved in 7 (1.7%), recurred in 7 (1.7%), the patients in 79.8% of the cases of type Ⅲ were cured, improved in 24 (13.5%), recurred in 12 (6.7%). The total efficiency of type Ⅰ~Ⅲ was 96.2%. The patients in 93.5% of the cases benefit from recovering of improving olfactory functions postoperatively. Conclusions: ESS has good curative effects on chronic sinusitis and nasal polyps. It provides technical assurance to prevent a relapse from polyp and inflammation, which contributes to protecting and improving physiological functions of the nasal cavity and sinus.

关 键 词：内镜 外科 手术 鼻窦炎 鼻息肉 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]