摘要
目的 ⑴评价鼻内镜手术治疗慢性鼻窦炎和鼻息肉的疗效及影响手术疗效的相关因素。⑵探讨鼻内镜鼻窦手术后并发症的发生及预防措施。方法 回顾性分析 1993年 8月至 2 0 0 1年 6月间实施鼻内镜手术并完成术后随访的 180 0例慢性鼻窦炎、鼻息肉患者。结果 临床分型、分期Ⅰ～Ⅲ型分别为 171例 (9 5 % )、10 0 3 (5 5 7% )、62 6例 (3 4 8% ) ;治愈率分别为 91 2 %、71 1%、3 6 2 % ;总治愈率为 61 0 % ;手术并发症 96例 (5 3 % ) ,分别为纸板损伤 15例 (0 83 % )、大出血 16例 (0 89% )、鼻腔粘连 63例 (3 5 % )、一过性或短暂性失明 2例 (0 11% )。结论 鼻内镜鼻窦手术是治疗慢性鼻窦炎、鼻息肉的有效方法 ,手术疗效与其临床分型分期密切相关。熟悉和确认并发症的发生 ,对于提高疗效和预防并发症是重要的。
Objective To evaluate the curative effect of endscopic sinus surgery (ESS) and to investgate the causes and prevention of the complication of ESS.Methods 1800 patients with chronic sinusitis and nasal polyps were retrospectively analyzed by ESS treatment from Aug 1993 to Jun 2001.Results Patients with clinical types and stages from Ⅰ to Ⅲ were 171 cases(9 5%),1003 cases (55 7%),626 cases(34 8%) respectively.The clinical cure rate from Ⅰ to Ⅲ were 91 2%,71 1%,36 2% respectively.The total cure rate was 61 0%,complications were noted in 96 cases(5 3%).The types of complication included papyraceous lamina injury in 15 cases(0 83%),hemorrhage in 16 cases(0 89%),adhesion in 63 cases(3 5%),transient blindness in 2 cases(0 11%).Conclusions ESS is effective and safe in the treatment of chronic sinusitis and nasal ployps.The operation outcome is directly related to the typing and phasing of the disease.It is important to find and treat complications timely and accurately.
出处
《中国医师杂志》
CAS
2003年第1期64-66,共3页
Journal of Chinese Physician
