复发性鼻窦炎鼻息肉的修正性鼻内镜手术治疗

目的 总结修正性鼻内镜手术治疗复发性鼻窦炎鼻息肉的手术体会。方法 采用MesserKlinger技术对84例复发性鼻窦炎鼻息肉病人行筛窦、蝶窦开放，额窦、上颌窦窦口扩大等修正性手术治疗。结果 治愈51例，好转17例，无效16例。治愈率为60．7％，有效率为80．9％，无效率为19．1％。结论 修正性鼻内镜手术是治疗复发性鼻窦炎鼻息肉的有效方法。选择具有定向定位作用的解剖参照点是手术安全的基础；选择恰当的术式、实施精细的操作是手术成功的关键。结构变异、出血、鼻息肉病等因素是手术失败的原因。

Revision endoscopic sinus surgery of recurrent sinusitis and nasal polyps

Objective To summarige the clinical effect and experience of revision endoscopic sinus surgery for the patients with recurrent sinusitis and nasal polyps. Methods Eight-four patients with recurrent sinusitis and nasal polyps had been operated by revision endoscopic sinus surgery. Results Fifty-one cases of 84 were cured, 17 improved, 16 ineffective. The cure rate was 60.7% with total effective rate 80.9% and ineffection rate 19.1%. Conclusion Revision endoscopic sinus surgery is a valuable way to treat recurrent sinusitis and nasal polyps. Anatomic marks are security elements for provicting orientation and direction. Correct choice of operation methods and excellent operative skill is the key to success. Structure variation, increased bleeding, and recurrent polyposis are the causes of failure.