内窥镜鼻窦手术116例术后动态观察

目的：探讨内窥镜窦手术后粘膜的变化过程，并正确评价疗效。方法：对116例功能性内窥镜手术患者术后粘膜形态进行连续观察，结果：近90％的术腔在1－2周内清洁，80％以上的术腔在3－10周内有水肿，囊泡，肉芽，息肉生长等去粘膜化反应或再生病变发生，并与上皮化呈竞争性生长，90％的术腔在经过恰当的处理后可完成上皮化，其中接近60％的术腔在术后11－14周完成上皮化，结论：将术后粘膜变化过程动态观察，对术后局部处理具有指导意义，是保证手术整体疗效的重要组成部分。

DYNAMIC OBSERVATION OF 116 CASES AFTER FUNCTIONAL ENDOSCOPIC SINUS SURGERY

Objective:To investigate character of transitional process of mucosa in sinus cavity after functional endoscopic sinus surgery(FESS)to judge curative effect rightly.Methods:the morphological character of mucosa in sinus cavity after FESS was observed continuously in 116 cases.Results:About 90% of nasal and sinus cavity got clean within 1 to 2 weeks postoperatively.Over 80% of patients had the De mucosa reaction or regenerated disease within 3 to 10 weeks,such as mucosa edema,vesicles,granulation tissue,mini polyps.All of these diseases competed with mucous epithelialization.There was 90% of nasal and sinus cavity brought to stage of epithelialization,11 to 14 weeks were need in about 60% of them.Conclusion:Dynamic observation of character of postoperative transitional mucosa in sinus cavity postoperatively,is essential to proper local care and the whole curaboe effect of FESS.