摘要
本文对５６例复发性鼻息肉再次鼻内窥镜手术进行了临床观察和总结。其中男３３例，女２３例，年龄２４～６５岁。手术使用直径４ｍｍ、视角０°、３０°、７０°硬管内窥镜。功能性鼻窦内窥镜手术９例（１６侧），全筛窦开放术３３例（６０侧），全蝶筛窦开放术１２例（２１侧），蝶窦开放术２例（２侧），术中使纸样板与筛顶骨骼化。随访好转率为９２８％。ＣＴ筛窦分型示空泡型者临床治愈率最高。无并发症发生。结论：再次鼻内窥镜手术和局部应用类固醇药物的综合疗法对复发性鼻息肉的治疗是安全、有效的。本文对鼻息肉的临床分期、筛窦分型与术后疗效的关系以及对再次鼻内窥镜手术注意点进行了讨论。
patients of recurrent nasal polyps received revision functional endoscopic sinus surgery (FESS). There were 33 men and 23 women,ranging in age from 20～65 years. Hard endoscopes with a diameter of 4mm, and visual angle of 0°, 30°, and 70° were used. Among the patients,9 (16 sides) were treated with functional ethmoidectomy,33 (60 sides) with total ethmoidectomy,and 12 (21 sides) with sphenoethmoidectomy. All patients were followed up for 3 to 12 months. The clinical curative rate was 82.1%, and improving rate was 92.8%. No complications occurred in this series. Revision FESS was safe and efficient. Factors which affected operative effects such as the clinical stage of recurrent nasal polyps and ethmoidal types of CT were discussed.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
1996年第4期212-215,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
鼻息肉
复发
内窥镜
手术
Nasal polyps\ \ Recurrence\ \ Endoscope\ \ Surgery
