鼻内镜下鼻窦手术1135例疗效的回顾性分析

目的探讨鼻内镜下鼻窦手术治疗慢性鼻-鼻窦炎的远期疗效以及可能影响疗效的相关因素。方法回顾性分析1135例(2107侧)慢性鼻-鼻窦炎和(或)鼻息肉患者鼻内镜下行手术治疗的临床资料。结果所有患者术后随访1～3年,平均1.2年。治愈8 6 2例(7 5.9%),好转2 1 4例(18.9%),无效59例(5.2%),总有效率94.8%。术后并发鼻腔粘连126例(11.1%)。结论鼻内镜下手术治疗慢性鼻-鼻窦炎,术中采用控制性低血压,减少出血,提供清晰术野,正确处理病变的中鼻甲,术后规范性随访,能有效的提高慢性鼻-鼻窦炎患者的治愈率,减少远期并发症。

Clinical observation of endoscopic sinus surgery with 1135 cases

Objective To investigate the clinical efficacy of nasal endoscopic surgery for sinusitis and nasal polyps.Methods 1135 cases(2107 sides) of chronic sinusitis and nasal polyps were treated with ESS,and following up survey 1-3 year postoperatively,with an average of 1.2 years.Results It was found that 862 cases were cured(75.9%),214 cases achieved symptonatic relief(18.9%),59 cases remained failure(5.2%),and the effective rate was 94.8%,Postoperative complication incidence was about 1.6%,mainly was adhesion of nasal cavity.Conclusion The curative effect of ESS is successful.It is effective to use reasonable intraoperative controlled hypotension to reduce bleeding concentration,it is very important to treat middle turbinate precisionly,and regularly following-up could reduce operation complications.