复发性慢性鼻窦炎鼻息肉的鼻内镜手术治疗的临床疗效分析

目的探讨鼻内镜手术用于复发性鼻窦鼻息肉的临床疗效。方法回顾性分析325例复发性慢性鼻窦炎鼻息肉患者采用鼻内镜手术治疗的临床效果及并发症情况,综合评价鼻内镜手术在复发性慢性鼻窦鼻息肉治疗的临床效果。结果 325例患者均实施鼻内镜手术,其中进行过1次鼻窦手术者157例,经鼻内镜手术治疗后,135例治愈,治愈率为85.99%;进行过2次鼻窦手术者93例,经鼻内镜手术治疗后,治愈69例,治愈率为73.91%,实施过3次鼻窦手术者52例,经鼻内镜手术治疗后,治愈31例,治愈率为59.61%,实施过4次鼻窦手术者23例,经鼻内镜手术治疗后,治愈11例,治愈率为47.83%。不同鼻窦手术患者经鼻内镜手术治疗的治愈率存在明显差异(P值均﹤0.05)。同时,随着鼻窦手术次数的增多,采用鼻内镜手术治疗后的并发症发生率亦增加。结论鼻内镜手术虽然能有效治愈复发性慢性鼻窦炎鼻息肉患者,但随着复发次数即鼻窦手术次数的增多,鼻内镜手术的治愈率呈下降趋势,因此应重视鼻内镜手术的术中处理及其围手术期治疗和术后规范的综合治疗,减少复发提高治愈率。

The analysis of clinical effect for endoscopic sinus surgery in the treatment of recurrent chronic sinusitis and nasal polyps

OBJECTIVE To investigate the clinical efficacy for nasal endoscopic surgery in the treatment of the recurrent sinus and nasal polyps.METHODS The clinical effects and complications of 325 cases with recurrent chronic sinusitis and nasal polyps by endoscopic sinus surgery were analyzed retrospectively.The clinical effect for endoscopic sinus surgery in the treatment of recurrent chronic sinusitis and nasal polyps was evaluated comprehensively.RESULTS 325 patients were taken the implementation of endoscopic sinus surgery,which carried out the first sinus surgery in 157 cases.135 patients were cured after endoscopic nasal surgery,the cure rate was 85.99%.93 cases were conducted with 2 sinus surgery after endoscopic nasal surgery,69 cases were cured,and the cure rate was 73.91%.52 cases were with three sinus surgery,31 cases were cured,and the cure rate was 59.61%.23 cases were taken the implementation of over 4 sinus surgery,11 cases were cured,and the cure rate was 47.83%.The cure rate for different patients with sinus surgery was significantly different(P﹤0.05).The incidence of complications after endoscopic nasal surgery was increasing with the increase in the number of sinus surgery.CONCLUSION The endoscopic sinus surgery can cure for recurrent patients with chronic sinusitis and nasal polyps effectively.But the cure rate of endoscopic sinus surgery is declining with the increase in the number of relapses sinus surgery.So we should take endoscopic sinus surgery as soon as possible for recurrence in patients to avoid the decrease of treatment efficacy for the repeated incidence.