鼻内镜手术治疗慢性鼻窦炎328例

目的观察鼻内镜手术治疗慢性鼻窦炎的临床疗效。方法对328例慢性鼻窦炎患者行鼻内镜手术,术后进行随访。结果治愈282例,好转36例,无效10例,总有效率96.95%。手术并发症为鼻腔粘连18例,息肉复发4例,眶周淤血及肿胀1例。结论鼻内镜手术治疗慢性鼻窦炎鼻息肉具有良好临床疗效。术前准备充分,手术操作熟练准确,术后定期随访,能够提高疗效和减少并发症。

Clinical effect of endoscopy in treatment of 328 patients with chronic sinusitis

Objective To observe the clinical curative effect of endoscopic sinus surgery(ESS)in treatment of chronic sinusitis.Methods 328 patients with chronic sinusitis were treated with ESS and were followed up.Results 282(85.98%)patients were cured.Improvement was achieved in 36 patients(10.97%)while no effect was achieved in 10 patients(3.05%).The total effective rate was 96.95%.The adhesion of nasal cavity was found in 18 patients postoperatively,the recurrence of nasal polyps was found in 4 patients,and the intra orbital congestion was found in 1 patient.Conclusion The ESS is successful in the treatment of chronic sinusitis and nasal polyps.The sufficient preparation before surgery,the excellent surgical skills in surgery and the regular follow-up after surgery can reduce complications effectively.