摘要
目的 :探讨影响内窥镜鼻窦手术疗效的相关因素。方法 :16 8例 (2 72侧 )慢性鼻窦炎鼻息肉患者均行内窥镜鼻窦手术 ,先评估其总体疗效 ,再用模糊综合评判法对年龄、病程、疾病分期、术后鼻窦内窥镜检查定期与否四个因素进行评判 ,分析各因素对疗效的影响。结果 :116 8例 (2 72侧 )慢性鼻窦炎鼻息肉患者行内窥镜鼻窦手术 ,术后随访 2～ 3年 ,其总体疗效为治愈 111例 (6 6 .1% ) ,好转 42例 (2 3.2 % ) ,无效 15例 (10 .7% ) ,总有效率 89.3%。 2用模糊综合评判法得出对疗效影响最大的因素为术后定期内窥镜检查与否 ,比重占 85 % ,其次为疾病分期占 10 .6 2 % ,年龄占 3.84% ,病程占 0 .5 3%。结论 :术后定期内窥镜检查是影响内窥镜鼻窦手术疗效的最为重要的因素。
Objective: To inquire some relative elements affecting curative effect in endoscope sinusitis surgery (ESS). Methods: One hundred and sixty\|eight patients (272 sides paranasal sinus) with chronic sinusitis and polyps accepted ESS. The total curative effect was evaluated first and then the affecting elements on the curative effect were analyzed by dim synthesize judge method which included age, course of disease, clinical stage and if regular check\|up or not after ESS (4 elements of affecting the curative effect). Results: The total curative rate was 66.1% (111/168), improvement rate 23 2%(42/168) and no effective rate 10.7% (15/168) in the period of 2 to 3 years follow\|up. The use of dim synthesize judge method showed that the regular check\|up was biggest affecting element on the curative effects. Conclusion: The endoscopic examination and treatment after ESS were important elements for the prognosis of patients with chronic sinusitis.
出处
《耳鼻咽喉（头颈外科）》
2001年第4期208-210,共3页
Chinese Arch Otolaryngology-Head Neck Surg
