鼻息肉：鼻内镜鼻窦手术后的长期结果（5年）

[Nasal polyposis: postoperative long term results (5 years) after endoscopic sinus surgery].

作者信息

Llorente J L, Martínez-Farreras A, Rodrigo J P, Pérez P, Muñoz C, Baragaño L, Suárez C

机构信息

Servicio de ORL, Hospital Central Universitario de Asturias, Oviedo, Asturias, Universidad de Oviedo.

出版信息

Acta Otorrinolaringol Esp. 2002 Feb;53(2):102-9. doi: 10.1016/s0001-6519(02)78288-5.

DOI:10.1016/s0001-6519(02)78288-5

PMID:11998524

Abstract

The purpose of this study is to evaluate the results after endoscopic sinus surgery in cases of nasal polyposis. We include 54 patients with diffuse nasal polyposis suffering from nasal obstruction. An endoscopic sinus surgery under general anesthesia with excision of the polyposis was performed. There were no complications. The patients were followed closely and treated with local and systemic steroids. After 5 years, the 75% of these patients were free of nasal symptoms and in the 67% the mucosa appeared normal. We also review the influence of some factors (ASA triad, anosmia, allergy...) in the recurrence of the disease.

摘要

本研究的目的是评估鼻息肉患者接受鼻内镜鼻窦手术后的结果。我们纳入了54例患有弥漫性鼻息肉且有鼻塞症状的患者。在全身麻醉下进行了鼻内镜鼻窦手术并切除息肉。未出现并发症。对患者进行密切随访，并给予局部和全身类固醇治疗。5年后，这些患者中有75%没有鼻部症状，67%的患者黏膜外观正常。我们还回顾了一些因素（阿司匹林三联征、嗅觉丧失、过敏等）对疾病复发的影响。