影响鼻窦显微手术疗效因素的分析

目的 分析影响鼻窦显微手术疗效的因素。方法 鼻内筛窦手术，经上颌窦手术，上颌窦窦口扩大，中鼻道开窗。结果 ３５９侧鼻窦显微手术，术后１～４年（平均３６．４个月），随访２８８侧，治愈１０８例（３７．５％），显著进步８７例（３０．２％），好转６５侧（２２．６％），无效２８侧（９．７％），良好率６７．７％，鼻内筛窦手术良好率６０．６％，经上颌窦手术良好率７２％，上颌窦窦口扩大未闭良好率６０．１％，中鼻开

THE ANALYSIS OF THE FACTORS CORRELATING THE CURATIVE EFFECTS OF NASAL SINUS MICRURGY

Objective To study the factors correlating the curative effects of nasal sinus micrurgy. Methods Intranasal ethmoidectomy, transmaxillary sinus surgery, ostium enlargement of the maxillary sinus middle meatal anstrostory are used. Results 288 of 359 patients who had sinus micrurgy were followed up for 1 to 4 years, 108 of whom recovered,87 improved significantly(32.2%), 65 improved(22.6%)and 28 had no reaction.(9.7). The effective rate of this treating method is 67.7%. The effective rates of the other treating methods intranasal ethmoidectomy, transmaxillary sinus surgery, ostium enlargement of the maxillary sinus and middle meatal antrostomy are respectively 60.6%,72%,60.4% and 92.2%. Both the groups had significant difference.(P<0.05) Conclusion Through analyzing and comparing the curative effects of the above methods the patients got over three years after they had the operatiions, the author concludes that the patients suffering from recurve all sinusitis and polypus should accept transmaxillary sinus surgery and middle meatal antrostory.