鼻内镜手术远期疗效及相关因素分析

目的 探讨接受鼻内镜手术慢性鼻窦炎、鼻息肉患者的疗效及影响疗效的相关因素。方法 接受鼻内镜手术慢性鼻窦炎、鼻息肉患者89例（147侧），术后综合治疗包括：清理术腔、鼻腔冲洗、抗生素、激素、黏液促排剂及免疫调节剂等。结果慢性鼻窦炎、鼻息肉89例（147侧），治愈62例（69．9％），好转21例（23．5％），无效6例（6．7％）。术后头痛缓解率为92．1％（82／89）；鼻堵缓解率为84．2％（75／89）；脓涕痛缓解率为59．5％（53／89）；术后症状完全缓解者57例（64．0％），部分缓解24例（26．9％），总有效率为91．0％（81／89）。结论 慢性鼻窦炎、鼻息肉内镜鼻窦手术远期疗效满意。

Long-term curative effect and analysis of its relative factors of endoscopic sinus surgery in patients with chronic sinusitis and polyp

Objective To evaluate the results of endoscopic sinus surgery(ESS)in patients with chronic si- nusitis and polyp.Methods The management during follow-up was adopted under nasal endoscope and local anes- thesia.The postoperative treatment included cleaning operative cavity,nasal irrigation,anti-bioties,steroid,immune regulator,etc.Results Overall cases included 89 cases(147 sides)of chronic sinusitis,the cure rate was 69.9%(62 cases),21 cases(23.5%)were improved,while other 6 cases(6.7%)had no effect.Overall symptoms,92.1%(82/ 89)with headache were improved,84.2%(75/89)were free of nasal obstruction and 59.5%(53/89)gained a re- lief of purulent discharge.The total effective rate of ESS was 91.0%(81/89).Conclusion ESS in patients with chronic sinusitis has a good long-term curative effect.