合并哮喘的慢性鼻-鼻窦炎的鼻内镜手术治疗

慢性鼻-鼻窦炎(CRS)是一种异质性的疾病，其中合并哮喘的患者占到10%~40%，且在全球范围内呈上升趋势。在哮喘患者中，CRS的发病率也高于一般人群。目前大部分的研究认为鼻内镜手术结合药物治疗对合并哮喘的CRS患者的鼻部症状有明显的改善作用，且有利于哮喘的长期管理。但是此类患者术后易复发，围手术期手术风险也较高。将重点论述合并哮喘的CRS患者的术前评估和围手术期管理、手术方式的选择及鼻内镜手术术后对哮喘的影响等。

Endoscopic sinus surgery for chronic sinusitis with asthma

Chronic rhinosinusitis (CRS) is a heterogeneous disease, and patients with asthma account for 10%-40% of the CRS cases and this number is increasing worldwide. In addition, the incidence of CRS is higher in patients with asthma than in the general population. At present, most of the studies suggest that endoscopic surgery combined with drug therapy can significantly improve the nasal symptoms of patients with CRS accompanied by asthma, and is conducive to long-term management of asthma. However, such patients are prone to recurrence after surgery and the risk for perioperative surgery is also high. This article focuses on the preoperative evaluation and perioperative management of patients with CRS accompanied by asthma, choice of surgical methods, and impact of endoscopic surgery on asthma.