Nonoyama T, Majima Y, Arima S, Takeuchi K, Sakakura Y
Department of Otorhinolaryngology, Mie University School of Medicine.
Nihon Jibiinkoka Gakkai Kaiho. 2000 Sep;103(9):1001-6. doi: 10.3950/jibiinkoka.103.1001.
Endoscopic sinus surgery is commonly used to treat chronic sinusitis. Subjects were 79 chronic sinusitis patients--50 men and 29 women aged 17 to 79 years (average: 50.6 years) undergoing endoscopic sinus surgery in our department from January 1993 to December 1997. Mean follow-up was 17.5 months. We evaluated preoperative staging of chronic sinusitis based on Kennedy staging. Most were stage 3. This type of staging was not effective in predicting nasal polyp relapse. We found that cases with diffuse polyposis and associated disease such as bronchial asthma or aspirin-induced asthma tended to experience a polyp relapse. Our results suggest that postoperative treatment is important in maintaining patency of the ostiomeatal complex, nasal polyp or edematous mucosa relapse must be treated early in on in occurrence.
鼻内镜鼻窦手术常用于治疗慢性鼻窦炎。研究对象为1993年1月至1997年12月在我科接受鼻内镜鼻窦手术的79例慢性鼻窦炎患者，其中男性50例，女性29例，年龄17至79岁（平均50.6岁）。平均随访时间为17.5个月。我们根据肯尼迪分期法对慢性鼻窦炎进行术前分期评估。大多数为3期。这种分期法在预测鼻息肉复发方面效果不佳。我们发现，弥漫性息肉病以及伴有支气管哮喘或阿司匹林诱发哮喘等相关疾病的病例往往会出现息肉复发。我们的结果表明，术后治疗对于维持窦口鼻道复合体通畅很重要，鼻息肉或黏膜水肿复发一旦发生必须尽早治疗。
