内镜手术治疗慢性鼻-鼻窦炎鼻息肉伴哮喘患者临床分析  

Clinical analysis of endoscopic sinus surgery on patients with chronic sinusitis with nasal polyps complicated and asthma

作　　者：古庆家[1] 何刚[1] 李静娴[1] 樊建刚[1] 李德炳[1] 赵李冰[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16期1443-1446,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨以鼻内镜手术为主的综合治疗对慢性鼻-鼻窦炎鼻息肉(CRSwNP)伴哮喘患者的疗效。方法:45例CRSwNP伴哮喘患者接受鼻内镜手术治疗。结果:CRSwNP病情完全控制32例,部分控制9例,未控制4例,有效率为91.1%(41/45)。哮喘症状完全控制由术前4例变为16例。结论:CRSwNP伴哮喘经鼻内镜为主的综合治疗后,能有效控制哮喘症状和改善肺功能,术前应做好充分的围手术期准备以保障手术的安全性。Objective： To investigate the efficacy of the treatment of endoscopic sinus surgery on patients dignosed as chronic sinusitis with nasal polyps（CRSwNP）complicated and asthma. Method： Data of 45 patients with CRSwNP complicated asthma were analyzed retrospectively. Result： All cases were followed up for a period of 1 to 3 years after operation. In the 45 cases treated with ESS,32 cases were cured,9 cases were improved and 4 cases were inefficient by the treatment. The cure rate was 91.1% （41/45）. The asthma symptoms were improved in 16 patients compared to 4 before the surgery. Conclusion：With ESS based on combined therapy,it can significantly improve the condition of CRSwNP, asthma symptoms and pulmonary function. Meanwhile,sufficient perioperative period preparation should be made to ensure the safety of the operation.

关 键 词：鼻窦炎 鼻息肉 哮喘 内镜鼻窦手术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]