鼻内镜手术治疗慢性鼻窦炎的临床疗效

目的评价慢性鼻窦炎鼻内镜手术治疗的疗效，研究提高鼻内镜手术疗效的方法。方法对150例（246侧）慢性鼻窦炎患者行内镜手术治疗，术后随访观察6个月以上。结果治愈120例（80．0％），有效22例（14．7％），无效8例（5．3％），总有效率为94．7％，主要并发症是术中出血、术后鼻腔粘连。结论鼻内镜鼻窦手术治疗鼻窦炎有良好的疗效，手术的熟练程度、病灶的清除、中鼻甲的正确处理、术后加强术腔清洁管理是防止手术并发症和提高疗效的关键。

Clinical effect of endoscopic sinus surgery on chronic sinusitis

Objective To observe and improve the effect of endoscopic sinus surgery（ESS） on nasal sinusitis. Methods One budred and fifty cases of chronic nasal sinusitis were treated by ESS, and follow - up surveyed for 6 months postoperatively. Results It was tbund that 120 cases （80.0%） were cured, 22 cases（ 14.7% ） got improved, but 8 cases （5.3%） were failed, and the effective rate was 94.7%. The main complications were intraoperative bleeding and postoperative adhesion of nasal cavity. Conclusions The curative effect of ESS in treating sinusitis is successful. It is effective to clear the ill tissue, treat middle turbinate correctly and clear the operating cavity alter operation. It could readuce operative complication and ensure a good outcome for endoscopic surgery.