经鼻内窥镜鼻窦手术165例临床疗效观察  

Endoscopic sinus surgery, clinical observation with 165 cases

作　　者：谢允平[1] 吴建[2] 黄继峰[1] 阙镇如[1] 蔡继壹[1] 黄钦辉[1] 

机构地区：[1]解放军第180医院耳鼻咽喉科,福建泉州362000 [2]第二军医大学长征医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉科杂志》2002年第5期213-214,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :观察内窥镜鼻窦手术治疗鼻窦炎、鼻息肉的远期疗效。方法 :对 16 5例 (2 76侧 )慢性鼻窦炎鼻息肉患者行内窥镜鼻窦手术 ,术后随访 1年。结果 :治愈 10 7例 (6 4 .8% ) ,好转 4 3例 (2 6 .1% ) ,无效 15例(9.1% ) ,总有效率 90 .9%。术后并发症主要为鼻腔粘连。结论 :鼻内窥镜鼻窦手术治疗鼻窦炎、鼻息肉具有良好的疗效 ,术中采用合适浓度的肾上腺素液能达到很好的止血效果 ,术中中鼻甲的正确处理、术后定期随访能提高治愈率 。objective:To observe the long term curative effect of endoscopic sinus surgery(ESS).Method:165 cases (276 sides) of chronic sinusitis and nasal polyps were treated with ESS, and following up survey 1 year postoperatively.Result:It was found that 107 cases were cured ( 64.8 %), 43 cases achieved symptomatic relief ( 26.1 %), 15 cases remained failure ( 9.1 %), and the effective rate was 90.9 %, mainly operative complication was adhesion of nasal cavity.Conclusion:The curative effect of ESS was successful. It is effective to use reasonable concentration hemostasin to hemostasia, it is very important to treat middle turbinate precisionly, and regularly follow up could reduce operation complications.

关 键 词：鼻窦内窥镜手术 鼻窦炎 鼻息肉 治疗 临床疗效 

分 类 号：R765.9[医药卫生—耳鼻咽喉科] R765.25[医药卫生—临床医学]