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内窥镜鼻窦手术40例疗效观察
引用本文:王颖,庄立君.内窥镜鼻窦手术40例疗效观察[J].临床耳鼻咽喉头颈外科杂志,2002,16(8):418-419.
作者姓名:王颖  庄立君
作者单位:中国核工业北京401医院耳鼻咽喉科,北京,102413
摘    要:目的 :探讨提高鼻内窥镜手术疗效的方法。方法 :对 4 0例慢性鼻窦炎鼻息肉患者行经鼻内窥镜手术。结果 :4 0例中随访半年以上者 34例 ,治愈 2 5例 (73.5 % ) ,好转 7例 (2 0 .6 % ) ,无效 2例 (5 .9% ) ,总有效率94 .1%。无严重术后并发症 ,术后出血 1例 ,中鼻甲与鼻中隔粘连 2例 (2侧 )。结论 :鼻内窥镜手术治疗慢性鼻窦炎鼻息肉具有良好的疗效。手术操作熟练准确 ,彻底清除病变是手术成功的重要保证。

关 键 词:鼻窦内窥镜手术  鼻窦炎  鼻息肉
文章编号:1001-1781(2002)08-0418-02
修稿时间:2002年4月9日

Endoscopic sinus surgery,clinical observation with 40 cases
WANG Ying,ZHUANG Lijun.Endoscopic sinus surgery,clinical observation with 40 cases[J].Journal of Clinical Otorhinolaryngology,2002,16(8):418-419.
Authors:WANG Ying  ZHUANG Lijun
Institution:Department of Otolaryngology, Beijing Nuclear Industry 401 Hospital, Beijing 102413.
Abstract:Objective:To study the curative effect of endoscopic sinus surgery(ESS).Method: The clinical data of ESS on 40 cases(70 sides)of chronic sinusitis and nasal polyps were analyzed.Result: In 34 of the 40 cases followed up over six months, 25 cases(73.5%) were cured ,7 cases(20.6%) were improved,2 cases(5.9%) were ineffective, The effective rate was 94?1%. The serious operation complication was absent. Bleeding after operation was found in 1 case,middle turbinate synechiae with nasal septum were found in 2 cases.Conclusion: ESS is effective in the treatment of chronic sinusitis and nasal polyps. The success of operation is directly related to the excellent surgical skills. A regularly follow up and cleaning to the operation cavity after operation are important elements for securing optimal long term result.
Keywords:Endoscopic sinus surgery  Sinusitis  Nasal polyps
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