内镜下鼻窦炎鼻息肉手术同期处理中下鼻甲及鼻中隔术后疗效分析

目的：分析影响内镜手术疗效的原因。方法：对128例（180侧）鼻窦炎、鼻息肉伴鼻腔结构变异或病理生理改变的患者行鼻内镜手术，其中64例（100侧）单纯行功能性鼻内镜手术（FESS）（对照组），另64例（80侧）行鼻内镜手术的同时对其中变异的中、下鼻甲及鼻中隔偏曲进行处理（处理组）。术后对这2组的疗效进行对比观察。结果：随访6个月～3年，处理组有效率明显高于对照组（P〈0．01）。结论：鼻内镜手术中同时处理鼻腔相关疾病，对于改善鼻腔通气引流、减少粘连具有重要意义，是提高内镜手术疗效的重要环节。

Analysis on the long-term curative effect of endoscopic sinus surgery

Objective:To analyze the long-term curative effect of endoscopic sinus surgery.Method:One hundred and twenty-eight cases (180 sides ) of chronic sinusitis and nasal polyps were treated with FESS,80 side(64 cases) were elected randomly to deal with the anatomical variation of middle and inferior turbinate and nasal septum during the operation (rectification group),comparing the curative effects with other 100 sides (64cases)(contrast group ).Result:Following up survey from 12 months to 24 months postoperatively,the curative effect in the rectification group was better than that in the contrast group.Conclusion:Dealing with anatomical variation that influence the nasal cavity function in FESS can significantly improve the healing rate of sinusitis and ventilation function and decrease the adhesions rate.