内镜鼻窦术后鼻腔长期分泌物的合理用药局部冲洗治疗  

Proper local treament of chronic nasal secretion after edoscopic sinus surgery (ESS)

作　　者：傅敏仪[1] 黄桂球[1] 陈美珍[1] 

机构地区：[1]广东省中山市人民医院耳鼻咽喉科,广东中山528400

出　　处：《中国内镜杂志》2005年第3期306-307,312,共3页China Journal of Endoscopy

摘　　要：目的探讨慢性鼻窦炎伴鼻息肉鼻内镜鼻窦手术后鼻腔长期分泌物的治疗方法。方法符合要求的经鼻内镜术后的慢性鼻窦炎鼻息肉Ⅱ型Ⅱ期的病人42例,分成合理用药局部冲洗组(A)和未合理用药局部冲洗组(B)两组,治疗2周后比较两组的疗效。结果A组感染的细菌以G-杆菌为主,厌氧菌感染比例少,经验用药多耐药,A、B两组的有效率分别是89.47%和60.87%,经卡方检验,两组之间的差异有显著性(χ2=4.40,P=0.036)。结论慢性鼻窦炎伴鼻息肉鼻内镜鼻窦手术后鼻腔长期分泌物可以由于感染或感染以外的原因引起,合理用药局部冲洗是一种有效的治疗方法。To investigate the method of treating the chronic nasal secretion after endoscopic sinus surgery. 42 patients with chronic nasal secretion after ESS were divided into two groups: 19 and 23 cases in group A and group B.group A was treated with proper medication and injection into nasal sinus and cavity, While group B was not treated with proper medication and injection into nasal sinus and cavity. The effective rate of these two groups patients were compared. Group A was mainly infected with G- bacilli, only one anaerobe was detected in group A. Drug resistance was found in group B with experiential medication .The effective rate between group A(89.47%) and group B(60.87%) was of significant difference(χ2 = 4.40, P =0.036). [Conclusions] We should use sensitive antibiotics against infection and injection into nasal sinus and cavity to treat with those patients with chronic nasal secretion after ESS. This is an effective method to treat with such patients.

关 键 词：鼻窦炎 鼻息肉 内镜鼻窦手术 鼻腔冲洗 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]