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经鼻内窥镜鼻窦手术165例临床疗效观察
引用本文:谢允平,吴建,黄继峰,阙镇如,蔡继壹,黄钦辉. 经鼻内窥镜鼻窦手术165例临床疗效观察[J]. 临床耳鼻咽喉头颈外科杂志, 2002, 16(5): 213-214
作者姓名:谢允平  吴建  黄继峰  阙镇如  蔡继壹  黄钦辉
作者单位:1. 解放军第180医院耳鼻咽喉科,福建泉州,362000
2. 第二军医大学长征医院耳鼻咽喉科
摘    要:目的 :观察内窥镜鼻窦手术治疗鼻窦炎、鼻息肉的远期疗效。方法 :对 16 5例 (2 76侧 )慢性鼻窦炎鼻息肉患者行内窥镜鼻窦手术 ,术后随访 1年。结果 :治愈 10 7例 (6 4 .8% ) ,好转 4 3例 (2 6 .1% ) ,无效 15例(9.1% ) ,总有效率 90 .9%。术后并发症主要为鼻腔粘连。结论 :鼻内窥镜鼻窦手术治疗鼻窦炎、鼻息肉具有良好的疗效 ,术中采用合适浓度的肾上腺素液能达到很好的止血效果 ,术中中鼻甲的正确处理、术后定期随访能提高治愈率 ,减少并发症

关 键 词:鼻窦内窥镜手术  鼻窦炎  鼻息肉
文章编号:1001-1781(2002)05-0213-02
修稿时间:2001-08-10

Endoscopic sinus surgery, clinical observation with 165 cases
XIE Yunping WU Jian HUANG Jifeng QUE Zhenru CAI Jiyi HUANG Qinhui. Endoscopic sinus surgery, clinical observation with 165 cases[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2002, 16(5): 213-214
Authors:XIE Yunping WU Jian HUANG Jifeng QUE Zhenru CAI Jiyi HUANG Qinhui
Affiliation:Department of Otolaryngology, 180th Hospital of PLA, Quanzhou 362000.
Abstract:objective:To observe the long term curative effect of endoscopic sinus surgery(ESS).Method:165 cases (276 sides) of chronic sinusitis and nasal polyps were treated with ESS, and following up survey 1 year postoperatively.Result:It was found that 107 cases were cured ( 64.8 %), 43 cases achieved symptomatic relief ( 26.1 %), 15 cases remained failure ( 9.1 %), and the effective rate was 90.9 %, mainly operative complication was adhesion of nasal cavity.Conclusion:The curative effect of ESS was successful. It is effective to use reasonable concentration hemostasin to hemostasia, it is very important to treat middle turbinate precisionly, and regularly follow up could reduce operation complications.
Keywords:Endoscopic sinus surgery  Sinusitis  Nasal polyps
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