儿童功能性鼻内窥镜手术疗效分析  

Clinical analysis on the functional endoscopic sinus surgery in children

作　　者：梁建民[1] 刘晖[1] 孙斌[1] 汪立[1] 

机构地区：[1]西安交通大学医学院附属二院耳鼻咽喉科,陕西西安710004

出　　处：《武警医学院学报》2007年第2期154-156,共3页Acta Academiae Medicinae CPAPF

摘　　要：【目的】探讨功能性鼻内窥镜手术治疗儿童慢性鼻窦炎的疗效。【方法】对我科1999年2月-2004年2月资料完整的49例（73侧）儿童鼻内窥镜手术病例进行总结分析。其中男32例，女17例，年龄8～16岁。根据病史、CT扫描和鼻内窥镜检查进行病变分类，其中慢性鼻窦炎16例（23侧），鼻息肉合并慢性鼻窦炎33例（50侧）。【结果】全麻下手术27例，局麻22例。术后随访6个月以上30例，1年以上19例。治愈35例（71．4％），好转12例（24．5％），无效2例（4．1％）。术后3例接受再手术。【结论】鼻内窥镜手术治疗儿童慢性鼻窦炎是行之有效的方法，疗效满意，且具有创伤小、操作精确、病变清除彻底等优点。及时随访、正确处理术后出现的并发症是保证手术远期疗效的重要因素。[Objective] To study the therapeutic effect of functional endoscopic sinus surgery （FESS） on chronic nasal sinusitis in children, [Method] Fouty-nine children （73 sides） with FESS were retrospectively analyzed from Feb 1999 to Feb 2004. There were 32 boys and 17 girls ranging in age from 8 to 16 years. From history, CT and nasal endoscopic examination, the patients were divided to chronic nasal sinusitis （23 sides in 16 cases） and nasal polyp combined with chronic nasal sinusitis （50 sides in 33 cases）. [Results] FESS were under general anesthesia in 27 cases and local anesthesia in 22 cases respectively. Thirty cases were followed-up for above 6 months and 19 eases above one year. There were 35 cases （71.4%） cured, 12 cases （24,5%） improved and 2 cases （4.1%） invalid. Reoperation were adopted to3 children. [Conclusion] FESS is an effective method for chronic sinusitis in children. The surgery has advantages such as small incision, precise manipulation and thoroughly eradication of the lesion. It is important for improving postoperative efficacy to follow-up promptly and treat complication correctly.

关 键 词：儿童 鼻窦炎 功能性内窥镜手术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]