功能性鼻内窥镜手术不同中鼻甲处理方法 与疗效关系

目的探讨功能性鼻内窥镜手术不同中鼻甲处理方法与慢性鼻窦炎手术疗效及鼻功能恢复之间 的关系。方法为l62例、302侧慢性鼻窦炎和(或)鼻息肉患者行功能性鼻内窥镜手术。中鼻甲病变包括肥 厚及息肉样变。依中鼻甲切除与否分为中鼻甲切除组与保留组，按分层抽样、摒弃Ⅰ型和Ⅱ型l期病例的原 则分组。结果(1)中鼻甲保留组治愈、好转及无效分别为72％(36/50)、28％(14/50)和O；中鼻甲切除组治 愈、好转及无效分别为76％(38／50)、24％(12／50)和0。经x

Curative effects of different treating techniques for middle turbinate by functional endoscopic sinus surgery (FESS)

Objective:To study the curative effects of different treating techniques for middle turbinate with functional endoscopic sinus surgery (FESS) for sinusitis and/or nasal polyps. Method: 162 cases (302 sides) of chronic sinusitis and/or nasal polyps were treated with FESS. They were divided into two groups with middle turbinate resected or reserved. Results:( 1)The cure rates and effective rates in the groups with middle turbinate resected and reserved were 76 % ( 38/50 ), 24 % ( 12/50 ) and72 % (36/50), 28 % ( 14/50 ) respectively, there was no significant difference ( P > 0.05, x2 = test). (2)The average time of postoperative debridement of nasal cavity in the groups with middle turbinate resected and reserved were 10.8d and 12.2d respectively. There was high marked difference( t = 5.09, P < 0.01). (3) There was no synechia in the group with middle turbinate resected.6 cases in the group with middle turbinate reserved synechia. Conclusion:The partial middle turbinectomy for middle turbinate in FESS is necessary.