经鼻内窥镜鼻窦手术74例

探讨提高经鼻内镜鼻窦手术的疗效的措施。方法对行鼻窦内窥镜手术７４例鼻腔，鼻窦疾病的临床资料进行总结，结果７４例中随访６个月以上的６５例，治愈４４例，好转１８例，无效３例，有效率９５．４％；其中鼻塞，头痛，脓及失嗅症状消失率 分别为９５．２％、９２．０％，６６．７％，４２．１％；无严重手术并发症发生。

Experience of endoscopic sinus operation on 74 cases

OBJECTIVE: To improve the curative effect of endoscopic sinus operation. METHOD: The clinical data of nasal cavity and nasal sinus via endoscopic sinus operation on 74 cases (115 sides) were in summary. Of those 74 cases, 65 were followed-up over six mothes. RESULT: It showed that 44 cases were cured, 18 were improved, 3 were ineffective. The effective rate was 95.4%. The disappearance rate of four symptons-nasal obstruction, headache, purulent nasal discharge and loss of smelling was 95.2%, 92%, 66.7% and 42.5%, respectively. The serious operative complication was absent. CONCLUSION: It helped to raise thd effect of anesthetization to apply nasal cavity surface anesthesia, nerve block anesthesia. Paying attention to the distinguish of dissection label can help to decrease the occurance of the serious complication of the sinus ethmoidal operation. The operation which was alternatively conducted between endoscope and cavascope, according to the operation requirement, can be carried out more thoroughly and more safely. Cleaning the operation cavity after operation can promote healing.