500例鼻内窥镜手术疗效分析  

Effect analysis of 500 cases treated with endoscopic sinus surgery

作　　者：高顺华[1] 张庆伟[1] 

机构地区：[1]吉林省前卫医院,吉林长春130012

出　　处：《吉林医学》2008年第21期1850-1852,共3页Jilin Medical Journal

摘　　要：目的:探讨内窥镜鼻窦手术中影响疗效的因素。方法:对500例慢性鼻窦炎鼻息肉患者行内窥镜鼻窦手术后的疗效进行分析。结果:Ⅰ型治愈率为(168/181)92.82%,Ⅱ型愈率为(187/243)76.95%,Ⅲ型治愈率为(24/46)52.17%,三型之间治愈率的差异有统计学意义(P<0.05)。结论:术前病情评估和内窥镜鼻窦手术是治愈的关键,围手术期应用抗生素、类固醇激素及抗组胺药,可促进愈合、减少复发,是提高治愈率的重要因素。Objectlve To assess the affective factors in endoscopicsinus surgery （ESS）. Method The effects of 500 cases with chronic nasosinusitis and nasal polyps underwent ESS were observed. Results The clinical cure rate of type Ⅰ, Ⅱ, and Ⅲ were 92.82%, 76.95% and 52.17% , respectively. The differences between the three groups were significant （P 〈 0. 05 ）. Conehtsion Preoperative assess and ESS are the key to increase the cure rate. Other important factors are adequate application of antibiotic and steroid hormone,could enhance the cure rate arid reduce the recurrence.

关 键 词：内窥镜鼻窦手术 慢性鼻窦炎 鼻息肉 疗效分析 

分 类 号：R765.9[医药卫生—耳鼻咽喉科] R765.4[医药卫生—临床医学]