36例鼻息肉病的综合治疗及疗效分析

目的：观察鼻息肉病综合治疗后的远期疗效。方法：对36例鼻息肉病患者，手术前应用抗生素1周，全身应用糖皮质激素3d，然后行鼻内镜手术，术后全身应用糖皮质激素5d，鼻腔局部应用糖皮质激素6个月，并在内镜下进行定期观察，随访时间3年以上。结果：36例息者综合治疗后症状都得到明显改善，其中鼻通气改善最为明显，达100％；头痛次之，达95％；嗅觉障碍恢复较差。感冒或局部停用激素后易致息肉复发.结论：对鼻息肉患者采取综合治疗能够有效地控制鼻息肉病的症状。

Analysis of composite therapy and effect on 36 patients with nasal polyposis

Objective:To observe the long term effect of composite therapy on patients with nasal polypsis.Method:All 36 cases with nasal polypsis accepted antibiotic for a week and systemic corticosteroids for 3 days before operation ,then underwent ESS. Systemic corticosteroids were used for 5 days and topic corticosteroids for 6 months after operation, then they were followed up by endoscopy for more than 3 years.Result:The symptoms were significantly improved after composite therapy.The effective rates of ventilation and headache were respectively 100% and 95%,the improvement of dysosmia is relatively poor. Catch cold and no use of topic corticosteroids can lead recurrence of nasal polyposis.Conclusion:Composite therapy is effective in the treatment of nasal polyposis. Using antibiotic for a week and systemic corticosteroids for 3 days before operation, making use of systemic corticosteroids for 5 days and topic corticosteroids for 6 months after operation , and a reasonable regular following-up by endoscopy , a suitable and prompt postoperative treatment are indispensable to improve the effect of treatment.