复发性鼻窦炎鼻息肉病因分析与防治措施  

Etiologic analysis of recurrent sinusitis and nasal polyps and related preventive measures

作　　者：李厚恩[1] 袁伟[1] 钱进[1] 郭红光[1] 李雪盛[1] 

机构地区：[1]海军总医院耳鼻咽喉头颈外科,北京100048

出　　处：《海军医学杂志》2013年第5期314-317,共4页Journal of Navy Medicine

摘　　要：目的探讨鼻窦炎鼻息肉术后复发的原因,提出防止或减少复发的措施以及再次手术时应注意的问题等。方法本组215例复发性鼻窦炎鼻息肉患者,术前行鼻窦CT扫描、鼻内镜检查及5～7 d药物治疗,鼻内镜下行息肉切除、粘连松解、鼻窦再开放或窦口扩大等修正性手术,术后严密随访。结果术后随访1年以上,治愈139例(64.7%),好转57例(26.5%),无效19例(8.8%),总有效率为91.2%。无严重并发症发生。结论鼻窦炎鼻息肉术后复发的原因是多方面的,规范熟练的鼻内镜手术技巧和综合的药物治疗,可获得理想的疗效。Objective To investigate causes of recurrent sinusitis and polyps after surgery, so as to take preventive measures against recurrent sinusitis and polyps and also to call the attention of medical people to those related problems in future surgery, should recurrence occur. Methods Two hundred and fifteen cases with recurrent sinusitis and polyps were examined by CT and nasal endoscopy, and were treated with medication before surgery for 5 to 7 days. Correction surgeries, such as polyp excision, adhesion release, nasal sinus reopening and antral portal enlargement were taken under endoscopy. Close follow-ups were made after surgery. Results More than 1 year of medical follow-ups were made after surgery. One hundred and thirty-nine cases （64.7%） were cured, 57 cases （26.5%） were improved and 19 cases （8.8%） were ineffective, with a total effective rate of 91.2%, but without serious complications. Conclusion The recurrence of nasal sinusitis and polyps was due to varied causes. Satisfactory results could be achieved with standard and endoscopic sinus surgical skill combined with medication.

关 键 词：复发性鼻窦炎 鼻息肉 鼻内镜手术 

分 类 号：R765.41[医药卫生—耳鼻咽喉科] R765.25[医药卫生—临床医学]