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鼻內镜手术综合治疗老年慢性鼻窦炎鼻息肉的疗效分析(附173例报告)
引用本文:陈光怀,黎万荣.鼻內镜手术综合治疗老年慢性鼻窦炎鼻息肉的疗效分析(附173例报告)[J].泸州医学院学报,2010,33(2):153-156.
作者姓名:陈光怀  黎万荣
作者单位:1. 泸县人民医院五官科,四川,泸州,646000
2. 泸州医学院附属医院耳鼻咽喉一头颈外科
摘    要:目的:评估老年人慢性鼻窦炎、鼻息肉的鼻內镜手术综合治疗的可行性及疗效,探讨其围术期处理的特殊性。方法:回顾性分析2000年12月~2007年12月间173例(338侧)老年人慢性鼻窦炎、鼻息肉的鼻內镜手术综合治疗情況和近期随访结果。结果:随访6月~1年,Ⅱ型治愈15例(15/19,78.9%),好转3例(3/19,15.8%),复发1例(1/19,5.3%);Ⅲ型治愈123例(123/154,79.9%),好转22例(22/154,14.3%),复发9例(9/154,5.8%)。Ⅱ~Ⅲ型总有效率为94.2%(163/173)。44.8%的患者术后获得嗅觉的恢复或改善。结论:鼻內镜手术综合治疗不失为治疗老年人慢性鼻窦炎、鼻息肉较理想的方法,可以获得较好疗效,老年并不是手术的禁忌症,只要加强对老年病人的围术期处理,可以降低并发症和死亡率,有利于提高老年人的生活质量。

关 键 词:內窥镜  外科  手术  鼻窦炎  鼻息肉

THE COMMBINED TREATMENT OF ENDOSCOPIC SINUS SURGERY FOR CHRONIC SINUSITIS AND POLYPS IN THE OLD
Chen Guanghuai,et al.THE COMMBINED TREATMENT OF ENDOSCOPIC SINUS SURGERY FOR CHRONIC SINUSITIS AND POLYPS IN THE OLD[J].Journal of Luzhou Medical College,2010,33(2):153-156.
Authors:Chen Guanghuai  
Institution:Chen Guanghuai,et al Department of Otolaryngology of the Luxian People's Hospital
Abstract:Objective:To evaluate the feasibility and the combined treatment of endoscopic sinus surgery (ESS) for chronic sinusitis and nasal polyps in the old,and explore the speciality of the treatment with ESS in it during the operation.Methods:A retrospective analysis was conducted in 173 cases (338 sides) from December 2000 to December 2007 which were treated with ESS for chronic sinusitis and/or nasal polyps in the old people.Results:All patients were interviewed with a follow up time of six months to a year pos...
Keywords:Endoscope surgery  Operative  Sinusitis  Nasal  Polyps  
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