摘要
目的探讨鼻内镜鼻窦手术治疗慢性鼻窦炎的疗效,并分析其并发症发生的原因。方法对2005年1月～2008年6月该院接受内镜鼻窦手术的92例慢性鼻窦炎患者进行临床分析,按是否具有变应性体质的标准将所有病例分为变应性体质组(32例)和非变应性体质组(60例),分析疗效及并发症。结果Ⅰ～Ⅲ型治愈率分别为90.0%、82.3%和50.0%,Ⅰ型和Ⅲ型、Ⅱ型和Ⅲ型比较疗效差异有显著性,Ⅰ型和Ⅱ型比较疗效差异无显著性;变应性体质组和非变应性体质组治愈率分别为65.6%和95.0%,疗效差异有显著性,并发症发生率7.6%,术后随诊6～24个月,鼻部并发症为术后鼻腔黏连3例。结论鼻内镜手术是治疗慢性鼻窦炎的有效方法,其疗效与临床分期、变态反应等因素有关系。
【Objective】To investigate the curative effect of endoscopic sinus surgery （ESS） on chronic sinusitis.【Methods】92 cases of ESS were analyzed,of the 92 cases,10 cases were in the stage 1 of style Ⅰ;23 cases in stage 2 of style Ⅰ;7 cases in stage 3 of styleⅠ;20 cases in stage 2 of style Ⅱ,7 cases in stage 3 of style Ⅱ and 28 cases in styleⅢ.Follow-up after surgery was carried out for a period of 6~24 months with an average of 8 months.【Results】Cure rate was 90.0% for typeⅠ,82.3% for type Ⅱ,50.0% for type Ⅲ,there was no significant statistical difference in cure rate between type Ⅰand type Ⅱ,there was significant statistical difference in cure rate between type Ⅰand type Ⅲ,type Ⅱand type Ⅲ;cure rate was 65.6% for the allergic group and 95.0% for the group who was not allergic,there was significant statistical difference in cure rate between the two groups;the operative complication rate was 7.6%.【Conclusion】ESS is an effective method of curing chronic sinusitis.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第2期212-214,217,共4页
China Journal of Endoscopy
关键词
慢性鼻窦炎
鼻内镜手术
疗效
chronic sinusitis
endoscopic sinus surger
curative effect
