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经鼻内镜鼻窦手术360例临床分析
引用本文:胡玉顺,盛迎涛. 经鼻内镜鼻窦手术360例临床分析[J]. 中国中西医结合耳鼻咽喉科杂志, 2004, 12(2): 75-77
作者姓名:胡玉顺  盛迎涛
作者单位:浙江省杭州萧市山第一人民医院耳鼻咽喉科,311201
摘    要:目的 探讨经鼻内镜鼻窦手术治疗慢性鼻窦炎、鼻息肉的远期疗效。方法 对1996-2000年360例(663侧)完成随访的鼻内镜手术进行临床分析。术后随访6个月-2年。结果 治愈率为73.15%,其中I型治愈率为92.53%,Ⅱ型治愈率为67.92%,Ⅲ型治愈率为44.44%,3型治愈率呈递减趋势。结论 鼻内镜手术是治疗慢性鼻窦炎和鼻息肉的有效方法,手术疗效与其临床分型密切相关。术中恰当处理中鼻甲、鼻中隔偏曲及术后的综合治疗,对鼻内镜鼻窦手术远期疗效具有重要的意义。

关 键 词:经鼻内镜鼻窦术 鼻内镜术 鼻窦炎 临床资料
修稿时间:2003-06-17

Clinical analysis on the therapeutic effects of endoscopic sinus surgery on chronic sinusitis and nasal polyps among 360 cases
HU Yushun,SHENG Yingtao Dept. of otolaryngology,The First afjiliated Hospital of Xiaoshan Zhejiang. Clinical analysis on the therapeutic effects of endoscopic sinus surgery on chronic sinusitis and nasal polyps among 360 cases[J]. Chinese Journal of Otorhinolaryngology of Integrated Traditional and Western Medicine, 2004, 12(2): 75-77
Authors:HU Yushun  SHENG Yingtao Dept. of otolaryngology  The First afjiliated Hospital of Xiaoshan Zhejiang
Abstract:Objective To evaluate the long-term therapeutic effects of endoscopic sinus surgery(ESS) on chronic sinusitis and nasal polyps. Methods 360 cases (663 sides) were included in this study, who were treated from 1996 to 2000 and followed up for 6 months to 2 years. Results The curative rate was 73. 15% and the total effective rate was 91. 85%. among these patients. For these cases with various types of chronic sinusitis, the curative rate was 92. 53% for those with type I lesion, 67. 92% for ones with type I lesion and 44. 44% for type I , with a declining tendency in the curative rates for different types of chronic sinusitis. Conclusions ESS is an effective procedure for the treatment of chronic sinusitis and nasal polyps. However, the therapeutic effects were closely related with the clinical types of lesion. Appropriate treatment to the diseased middle turbinate and deviated nasal septum during the period of surgery and effective combined treatment after operation are very important to the long-term therapeutic effects of ESS on these lesions.
Keywords:Sinusitis  Nasal polyps  Endoscopic sinus surgery
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