复发性鼻窦炎、鼻息肉的鼻内窥镜再手术治疗  

Reoperation for recurrent chronic sinusitis and polyps by endoscopy

作　　者：兰信堂 于诗香 王爱初 毕礼玉 王其友[1] 

机构地区：[1]威海市立医院耳鼻喉科,山东威海264200

出　　处：《山东大学耳鼻喉眼学报》2005年第6期383-384,共2页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的:探讨鼻内窥镜下复发性鼻窦炎、鼻息肉再手术的疗效。方法:为124例复发性鼻窦炎、鼻息肉行鼻内窥镜手术,用Messerklinger术式,Stryker切削器,术中用中药冲洗术腔,辅以弱激光鼻腔内照射。结果:病变清除彻底,窦口开放良好,手术满意82例(66.1%),手术欠满意31例(25.0%),无效11例(8.9%)。结论:复发性鼻窦炎、鼻息肉的鼻内窥镜再手术适合于鼻腔黏连、堵塞、病变清楚但手术不彻底的患者,哮喘不影响再手术的效果,鼻息肉病内窥镜再次手术也无法根本解决。Objective：To evaluate the efficacy of endoscopy for recurrent chronic sinusitis and polyps. Methods： One hundred and twenty - four patients were reoperated on by endoscopy. Messerklinger technique and Stryker debrider were adopted during operation. Results： There were 82 cases with satisfactory, 31 with improved and 11 with unimproved results. Conclusion： Revision endoscopic sinus surgery is advised in most of the recurrent chronic sinusitis and polyps with nasal adhesion and obstruction except for nasal polyp disease. Bronchial asthma does not affect the revision endoscopic sinus surgery.

关 键 词：内窥镜检查 鼻窦炎 鼻息肉 再手术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]