修正性鼻内镜手术治疗复发性慢性鼻-鼻窦炎的临床分析  

Clinical analysis of revision endoscopic sinus surgery for recurrent chronic rhinosinusitis

作　　者：古庆家[1] 李静娴[1] 樊建刚[1] 李德炳[1] 赵李冰[1] 何刚[1] 

机构地区：[1]四川省人民医院耳鼻咽喉科,成都610072

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第9期800-803,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨修正性鼻内镜手术对复发性慢性鼻-鼻窦炎的临床疗效,分析影响疗效的相关因素。方法：回顾性分析45例复发性慢性鼻-鼻窦炎鼻息肉患者的临床资料,所有患者均在鼻内镜下进行修正性手术。结果：所有病例随访6--12个月,治愈34例（75.6%）,有效8例（17.8%）,无效3例（6.6%）。术中无严重并发症发生。结论：慢性鼻-鼻窦炎鼻内镜术后复发与术前用药、术后鼻腔粘连、鼻中隔偏曲与中、下鼻甲的处理、术后鼻腔定期随访及合理用药密切相关。通过合理的围手术期处理,精湛的手术技巧和定期规律的随访换药,修正性鼻内镜手术可取得满意的疗效。Objective： To investigate the therapeutic effect of revision endoscopic sinus surgery for recurrent chronic rhinosinusitis. Method：Clinical data of 45 cases of recurrent rhinosinusitis treated in our hospital were ret- rospectively analyzed. Revision endoscopic sinus surgery was performed in all the patients. Result： All the patients were followed up for a period of 1 to 2 years after operation. No serious complication occured. The cure rate was 75.6 % （34 cases）, 8 cases（17. 8%） improved, while other 3 cases（6.60% ） were of no effect. Conclusion： Recurrent rhinosinusitis is closely related with medical treatment before the surgery, adhesion in nasal cavity after the surgery, deviation of nasal septum, treatment of superior turbine and inferior turbine and regular medicament management after the surgery. Revision endoscopic sinus surgery is an effective method for recurrent recurrent rhinosi- nusitis. The efficacy of revision endoscopic sinus surgery can be greatly improved by reasonable perioperative management,skilled operation and regular follow-up postoperatively.

关 键 词：慢性鼻-鼻窦炎 内镜术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]