摘要
目的探讨腺样体切除在儿童慢性鼻窦炎治疗中的作用。方法回顾分析1999年3月-2003年10月在我科住院治疗，接受腺样体切除术的150例儿童慢性鼻窦炎的临床资料。结果随访6个月，参照1997年海口会议鼻窦炎疗效判断标准，150例中治愈98例（治愈率65．3％），好转41例（27．3％），无效11例（占7．3％），术中无任何并发症，总有效率为92．7％。结论Ⅰ型、Ⅱ型1期、Ⅱ型2期的儿童慢性鼻窦炎的治疗以切除阻塞鼻腔通气的腺样体，配合积极的内科治疗，可以达到治愈儿童慢性鼻窦炎的目的；Ⅱ型3期及Ⅲ型病人应行鼻内镜下鼻窦手术加腺样体切除术。
Objective To evaluate the role of adenoidectomy in the treatment of pediatric chronic rhinosinusitis. Methods The clinical data of 150 children patients with chronic rhinosinusitis and adenoid hypertrophy treated in our department from March 1999 to Oct 2003 were analyzed retrospectively. Results All patients were followed up for a period of 6 months, According to the criteria of therapeutic outoome for chronic rhinosinusitis （1997, Hainan）, the cure rate was 65,3% （98 cases）, 41 cases （27.3%） were improved. The total effective rate was 92,7%, No serious complications occurred. Conclusion Adenoidectomy acoompanied with medicine treatment may faciliate the entre of pediatric chronic rhinosinusitis of type Ⅰ, Ⅱ1-Ⅱ2. Those of Ⅱ3, Ⅲ may need endoscopes sinus surgery and adenoidectomy.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2006年第3期212-214,共3页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
