鼻内镜下手术治疗慢性鼻-鼻窦炎167例疗效分析  

Effect Analysis of 167 Case of the Functional Endoscopic Sinus Surgery for Chronic Sinusitis

作　　者：王虎[1] 石达[1] 江月成[1] 刘益建 WANG Hu1,SHI Da1,JIANG Yue-cheng1,LIU Yi-jian2 （1.Sihong Country People’s Hospital of Jiangsu Province,Sihong 223900; 2,Suqian City Working Hospital of Jiangsu Province,Suqian 222800,China）

机构地区：[1]泗洪县人民医院耳鼻喉科,江苏泗洪223900 [2]宿迁市工人医院耳鼻喉科,江苏宿迁222800

出　　处：《医学信息》2011年第18期6052-6054,共3页Journal of Medical Information

摘　　要：目的探讨鼻内镜手术治疗慢性鼻-鼻窦炎的临床疗效和并发症情况。方法回顾性分析我院167例慢性鼻-鼻窦炎行鼻内镜手术治疗的患者,术后随访1年6个月,观察术后并发症及疗效。结果 167例患者,治愈142例（85.02%）,好转18例（10.77%）,无效7例（4.19%）,总有效率95.79%,术后并发症有：眼睑肿胀瘀血、鼻腔粘连、鼻腔岀血等。结论鼻内镜手术治疗慢性鼻窦炎鼻息肉疗效良好,其疗效以及并发症的发生率与疾病临床分型、手术操作的熟练程度以及规范化的术后随访有关。Objective To investigate the clinical efficacy and complications of the functional endoscopic sinus surgery for chronic sinusitis.Methods 167 patients in our hospital with chronic sinusitis and nasal polyps,nasal endoscopic surgery were chosen,and they were followed up for 1 year and 6 months after the treatment.Retrospectively analyzed their clinical situation.Results the cure rate was 85.02%（142 cases）,improvement rate 10.77%（18 cases） and inefficacy 4.19%（7 cases）,the total effective rate 95.79%;Postoperative complications： bleeding and swelling of the eyelids,nasal adhesions,nasal blood and so on.Conclusion The endoscopic sinus surgery is effective to patients with chronic sinusitis and nasal polyps.The clinical efficacy and complications are closely related with the clinical types,and skilled surgical procedure and standardized postoperative follow-up.

关 键 词：鼻内镜术 鼻窦炎 鼻息肉 

分 类 号：R765.4[医药卫生—耳鼻咽喉科;医药卫生—临床医学]