综合治疗复发性鼻窦炎鼻息肉

目的 探讨手术及综合治疗复发性鼻窦炎、鼻息肉的临床疗效。方法 鼻内镜下对31例鼻窦炎鼻息肉复发患者行彻底手术,围手术期应用抗生素和口服皮质激素,术后鼻内镜定期复查，清除残余息肉、肉芽及鼻痂， 严密随访。结果 黏膜上皮化较快,窦口畅通, 其中治愈25例,占80.6%,好转6例,占19.4%,无效0例。结论 窦口粘连、黏膜过敏水肿、病灶残留是鼻窦炎鼻息肉复发的主要原因,术后口服脱敏药及大环内酯类药物等综合治疗，远期效果更佳。

Treatment for recurrent sinusitis and nasal polyps

Objective To investigate the efficacy of comprehensive treatment for recurrent sinusitis and polyps. Methods Thirty-one patients with recurrent sinusitis and nasal polyps underwent endoscopic sinus surgery, peri-operatively used antibiotics and oral corticosteroids, and were subjected to periodic reviews. Results 25 patients were cured, 6 were improved. Conclusion Sinus adhesion, allergic mucosal edema, and residual lesion are major causes of recurrent sinusitis and nasal polyposis. Post-operative therapy with oral desensitization drugs and macrolides is good in long-term effect.