鼻窦炎鼻窦内窥镜术后迁延性炎症原因的探讨

鼻窦内窥镜手术的开展,为提高鼻窦炎、鼻息肉手术的治愈率提供了一个广阔的前景。本文报告80例经鼻内窥镜手术的鼻窦炎病人术后3个月至1年的随访结果,一期治愈率为43．8％,延期治愈率为41．3％,迁延性炎症为12．5％,无效为2．5％。迁延性炎症及无效共12例（15．O％）,原因是伴过敏性鼻炎者9例;10例有鼻腔手术史,为术后复发病例。认为手术中如技术不熟练,或曾行鼻腔手术,解剖关系不清楚,无法彻底清除病灶,或不能系统进行鼻窦内窥镜下复查,术中出血及身体的过敏体质,致使术后鼻腔结构改变,均可影响手术愈合,形成迁延性炎症而导致手术失败。

Analysis of protracted inflammation after endoscopic surgery on sinusitis

Eighty patients with chronic sinusitis were treated by endoscopicsurgery from 1995 to 1997. There were 49 males and 31 females with the age rangingfrom 16 to 68 years. Among them,sinusitis alone was 36,combinded with nasal polyps44. The Messerklinger's procedure was used. All patients were followed-up 3 months to1 year. Result showed that the cure rate was 43. 8 % at one stage, 41. 3% at late stage,and the deferred inflammation was 12. 5 %,failure rate 2. 5%. Patients failed for a regular check-up by endoscopic examination is the main cause of late inflammation and thefailure of the surgery.[Chinese Arch Otolaryngol Head Neck Surg, 1999; 6 (2): 74~76From the Department of Otolaryngology,First Affiliated Hospital of Guangzhou MedicalCollege,Guangzhou 510120 (Dr. Liang Jianxin) ]