慢性鼻-鼻窦炎术后综合治疗

目的 通过对慢性鼻-鼻窦炎鼻内镜术后两种随访情况的对比观察，探讨更为合理的随访治疗方案。方法 对同期接受鼻内镜手术的各类慢性鼻-鼻窦炎369例，依据随访频率的不同，分为A、B两组，对比分析其转归情况。结果 A组168例，6个月痊愈93例、好转72例、无效3例；12个月痊愈132例、好转36例、无效0例。B组201例，6个月痊愈42例、好转129例、无效30例；12个月痊愈72例、好转126例、无效3例。两组病情转归差异有统计学意义（χ2=55.01，P<0.01）。结论 随访标准的不同会直接影响到术后综合治疗的调整和恰当实施，继而影响到慢性鼻-鼻窦炎的总体疗效。

Post-operative comprehensive treatment in patients with chronic rhinitis and rhino sinusitis

Objectives To explore a more proper follow-up method through comparative observation of post-operative outcomes in the two different follow-up groups of chronic rhinitis and rhino sinusitis. Methods The effectiveness rate of the two groups were compared and analyzed according to the different follow-up methods. Results In group A, 93 cases were cured, 72 cases were improved and 3 cases had no effect during six month follow-up; all cases were effective during twelve month follow-up (132 cases were cured, 36 cases were improved). In group B, 42 cases were cured, 129 cases were improved and 30 cases had no effect during six month follow-up; 72 cases were cured, 126 cases were improved and 3 cases had no effect during twelve month follow-up. The effective rate between group A and B was significantly different (χ2=55.01, P<0.01). Conclusion Different follow-up standard can affect readjustment and application of the post-operative comprehensive treatment, and thus affect the overall curative effect of chronic rhinitis and rhino sinusitis.