摘要
目的 探讨鼻内镜手术治疗青少年及儿童慢性鼻窦炎的疗效和影响疗效的相关因素。方法 回顾性分析我科1998年1月-2002年7月经鼻内镜手术治疗的78例(98侧)青少年及儿童鼻窦炎和鼻息肉患者的临床资料。结果 随访1-4年,按照海口会议鼻内镜手术疗效评定标准,78例中治愈54例(69.2％),好转21例(26.9％),无效3例(3.9％),总有效率为9 6.1％。术中术后无一例出现严重并发症。术后并发症主要是术腔粘连。结论 鼻内镜手术是治疗青少年及儿童慢性鼻窦炎较为理想的手术方式,但应严格掌握手术适应证,术中同期处理相关病变至关重要;术后定期随访复查是提高青少年及儿童鼻内镜手术疗效的重要过程。
<abstract>JECTIVE To evaluate the results of endoscopic sinus surgery(ESS)for adolescent and pediatric chronic sinusitis, METHODS 78 patients (98 sides) with adolescent and pediatric chronic sinusitis and nasal polyp were treated in our department from January 1997 to July 2002.There were 58 males and 20 females ranging in age from 7 to 17 years old. The clinical data of the patients were analyzed retrospectively. RESULTS All the patients were followed up for a period of 1 to 4 years. The cure rate was 69.2 %(54 cases),21 cases(26.9 %) were improved, while other 3 cases(3.9 %) were no effect. No serious complications other than synechia formation occurred. CONCLUSION TESS is an ideal surgical method for adolescent and pediatric chronic sinusitis, but indication must be exactitude selected. It is the utmost importance to handle associated diseases during operation. A regular follow up after operation is an important factor for improving the treatment outcome of adolescent and pediatric ESS.
出处
《中国耳鼻咽喉头颈外科》
2004年第4期231-232,241,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
