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影响内窥镜鼻窦手术远期疗效的原因分析
引用本文:李辉,史剑波,王丽华.影响内窥镜鼻窦手术远期疗效的原因分析[J].临床耳鼻咽喉头颈外科杂志,2001,15(2):55-56.
作者姓名:李辉  史剑波  王丽华
作者单位:暨南大学医学院第一附属医院耳鼻咽喉科(
基金项目:广东省卫生厅医学科研资助项目!(No.A19992 99)
摘    要:目的 :探讨影响经鼻内窥镜鼻窦手术疗效的原因。方法 :采用经鼻内窥镜手术治疗慢性鼻窦炎、鼻息肉 2 0 1例 (35 3侧 ) ,术后系统换药 ,结合局部用药及鼻窦冲洗。结果 :随访 1~ 2年 ,其中治愈 134例 (6 7.7% ) ,好转41例 (2 0 .4% ) ,无效 2 6例 (12 .9% )。结论 :提高鼻内窥镜手术操作技术 ,术后系统换药 ,局部用药及冲洗 ,是提高内窥镜鼻窦手术疗效的三个重要环节。

关 键 词:鼻窦炎  鼻息肉  内窥镜鼻窦手术
文章编号:1001-1781(2001)02-0055-02
修稿时间:2000年5月18日

The analysis of long-term curative effect in 201 cases of endoscopic sinus surgery
LI Hui,Shi Jianbo,WANG Lihua.The analysis of long-term curative effect in 201 cases of endoscopic sinus surgery[J].Journal of Clinical Otorhinolaryngology,2001,15(2):55-56.
Authors:LI Hui  Shi Jianbo  WANG Lihua
Institution:Department of Otolaryngology, First Affiliated Hospital, Jinan University, Guangzhou 510632.
Abstract:Objective:To analyze the long term curative effect of endoscopic sinus surgery (ESS), and to study the factors related to the defeat of endoscopic sinus surgery.Method:201 cases(353 sides)of chronic sinusitis and nasal polyps were treated with ESS,and were treated by taking the nasal cavity as a whole unit.Result:Following up survey from 12 months to 24 months postoperatively,it was found that 108 cases were cured ( 53.7 %),82 cases achieved symptomatic relief( 40.8 %),11 cases remained failure ( 5.5 %).Conclusion:It is very important to improve the ESS technique in order to reduce the recurrence of nasal polyps and sinusitis and to improve the curative effect of ESS,in addition,the treatment after operation is also indispensable to successful surgery.
Keywords:Nasal polyps  Sinusitis  Endoscopic surgery
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