内窥镜鼻窦手术1268例临床分析

目的 探讨鼻内窥镜手术治疗慢性鼻窦炎和鼻息肉的疗效及影响手术疗效的相关因素。方法 对１９８９－１９９７年完成随访的１２６８例内窥镜鼻窦手术进行临床分析。１２６８例中１型３６６例（２８．９％）２型为６４６例（５０．９％）３型为２５６例（２０．２％）其中１２６２例在局部麻醉辅以静脉强化麻醉下完成。同期行鼻中隔矫正术１８２例。术后随访９－４２个月，平均１５个月。结果 Ｉ型治愈率为９３．７％，２型治愈率为

The outcome of 1268 cases of endoscopic sinus surgery]

OBJECTIVE: To evaluate the curative effect of endoscopic sinus surgery (ESS). METHODS: One thousand two hundred and sixty-eight cases with chronic sinusitis and nasal polyps undergone ESS from 1989 to 1997 were appraised with the standard criteria (Chinese ENT Association, 1997). There were 366 cases(28.9%) in type 1, 646 cases(50.9%) in type 2 and 256 cases(20.2%) in type 3. One thousand two hundred and sixty-two cases underwent ESS under intranasal local anesthesia and sedation; 182 cases underwent submucous resection of nasal septum or septoplasty. Long-term follow-up was performed at 9 to 42 months(mean = 15 months). RESULTS: The results showed that cure rate was 93.7% for type 1, 81.6% for type 2 and 68.4% for type 3. There was significant difference in cure rate among different types (P < 0.01). Complication of ESS in 1,268 cases occurred in 2.3%. CONCLUSION: ESS is efficacy and safe in the treatment of nasal polyps and chronic sinusitis. The cure result is directly related to the types of the disease.