慢性鼻窦炎的治疗策略  

Management of chronic rhinosinusitis

作　　者：王成硕[1,2] 张罗[1,2] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科和过敏科,北京100730 [2]北京市耳鼻咽喉科研究所鼻病研究北京市重点实验室

出　　处：《临床耳鼻咽喉头颈外科杂志》2016年第14期1175-1178,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金重点国际合作研究项目(No:81420108009);教育部创新团队发展计划(No:IRT13082);科技部"十二五"国家科技支撑计划课题(No:2014BAI07B04);北京市医管局重点医学专业发展计划(ZYLX201310)

摘　　要：慢性鼻窦炎（chronic rhinosinusitis,CRS）是耳鼻咽喉头颈外科最常见的疾病之一,一般分为单纯慢性鼻窦炎（CRS without nasal polyps,CRSsNP）和慢性鼻窦炎鼻息肉（CRS with nasal polyps,CRSwNP）,二者的比例约为4：1。当前CRS的治疗主要是围绕药物治疗和手术治疗制定治疗策略。Chronic rhinosinusitis（CRS）is a common upper respiratory tract disorder that involves chronic inflammation of the nasal and paranasal sinus mucosa.CRS can be subdivided into two categories：CRS with nasal polyps（CRSwNP）and without nasal polyps（CRSsNP）.The management of CRS usually involves medical treatment and surgical treatment.A long-term anti-inflammatory treatment is the key for curing CRS.On the other hand,surgery should be considered when there is persistence the symptomatology despite a maximal medical treatment.For those repeatedly recurrence cases,the surgery usually as an adjunct to the medical treatment.On the basis of distinct phenotypes and endotypes of CRS,the management of CRS is extremely individual and must be discussed case by case in the future.

关 键 词：慢性鼻窦炎 鼻息肉 药物治疗 手术治疗 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]