经鼻内镜鼻窦手术治疗儿童慢性鼻窦炎

目的探讨经鼻内镜手术治疗儿童慢性鼻窦炎的疗效及影响疗效的相关因素。方法共52例(92侧)，病程1～11年，均在全麻下按功能性内窥镜鼻窦手术的原则进行手术。术后随访时间超过1年。结果治愈24例，好转20例，无效8例，总有效率85．21％。术后并发术腔粘连、窦口狭窄或闭锁36例，占69．2％。结论经鼻内镜鼻窦手术是治疗儿童慢性鼻窦炎的有效方法，因儿童鼻腔狭窄、粘膜易肿胀、术后连续术腔处理较困难，术腔粘连和窦口狭窄或闭锁发生率较高，因此控制变态反应和炎性水肿是手术后重要的治疗手段。

Children's chronic nasosinusitis of operative treatment by nasal endoscopic sinus operation

Objective To probe into main factors of influencing curative efects and relevant problems through clinical analysis of children chronic nasosinusitis by nasal endoscope sinus operation.Methods In 52 cases of chronic nasosinusitis children(92 sides),the course of disease was 1 to 11 years.All the operation were finished under general anesthesia according to functional endoscopic operation principle by nasal endoscopic sinus operation.All the cases were followed up by regular visits for more than one year after the operation.Results 24 cases were cured;20 cases were improved;8 cases were invalid;total efficient rate was 85.21%.36 cases have some mainly complications such as adhesion,ostium narrow or obstruction;total number of the postoperative complication was accounting for 69.2%.Conclusion It is an effective method to treat children's chronic nasosinusitis by nasal endoscopic sinus operation.Howerer because children's nasal cavity is narrow,and the mucous membrance is obviously swell,operative cavity is difficultly to deal with in succession after the operation,adhesion and ostium obstruction of operative cavity is relatively high to happen.It becomes an important treatment means after the operation by controling allergy and inflammation hydroncus at this moment.