摘要
目的 :探讨功能性鼻窦内窥镜手术治疗儿童慢性鼻窦炎的疗效及有关影响因素。方法 :对 1996年 5月～ 1999年 1月接受功能性鼻窦内窥镜手术并完成随访 1年以上、有完整病历记录的儿童慢性鼻窦炎和鼻息肉患者 31例进行回顾性分析。结果 :按照 FESS- 97海口疗效评定标准 ,31例中治愈 12例 (38.7% ) ,好转 15例(4 8.4% ) ,无效 4例 (12 .9% ) ,总有效率为 87.1% ,均无严重并发症发生。结论 :经鼻内窥镜手术是治疗儿童慢性鼻窦炎、鼻息肉的有效方法 ,术后仔细换药和综合治疗是提高治愈率的重要步骤。
Objective:To explore the curative effect of endoscopic sinus surgery (ESS) and the factors associated with surgery effect for treating children with chronic sinusitis. Method:Thirty-one children with a median age of 10 years (range 5～14 years) who suffered from chronic sinusitis or/and nasal polyps and were operated via ESS from May 1996 to January 1999 were retrospectively analyzed.Result:According to the therapeutic evaluation standard (ESS-1997, Haikou), twelve cases ( 38.7 %) were completely cured, fifteen cases ( 48.4 %) were improved and four children ( 12.9 %) showed no change with a general effective rate of 87.1 % without any severe operative complication. Conclusion:The results suggested ESS is a safe and effective method in the treatment of children with chronic sinusitis or/ and nasal polyps. Furthermore, meticulous postoperative endoscopic care and medication are also important for securing optimal long-term results.
出处
《临床耳鼻咽喉科杂志》
CSCD
2000年第11期496-498,共3页
Journal of Clinical Otorhinolaryngology
基金
国家自然科学基金1997年国家杰出青年基金!项目(No.3972 5 0 5 2 )
广东省中医药管理局科研基金!(No.99391E)共同资助
