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[鼻内镜鼻窦手术40例临床观察]

[Endoscopic sinus surgery, clinical observation with 40 cases].

作者信息

Wang Ying, Zhuang Lijun

机构信息

Department of Otolaryngology, Beijing Nuclear Industry 401 Hospital, Beijing 102413.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2002 Aug;16(8):418-9.

Abstract

OBJECTIVE

To study the curative effect of endoscopic sinus surgery(ESS).

METHOD

The clinical data of ESS on 40 cases(70 sides) of chronic sinusitis and nasal polyps were analyzed.

RESULT

In 34 of the 40 cases followed up over six months, 25 cases(73.5%) were cured, 7 cases(20.6%) were improved, 2 cases(5.9%) were ineffective. The effective rate was 94.1%. The serious operation complication was absent. Bleeding after operation was found in 1 case, middle turbinate synechiae with nasal septum were found in 2 cases.

CONCLUSION

ESS is effective in the treatment of chronic sinusitis and nasal polyps. The success of operation is directly related to the excellent surgical skills. A regularly follow up and cleaning to the operation cavity after operation are important elements for securing optimal long-term result.

摘要

目的

研究鼻内镜鼻窦手术(ESS)的疗效。

方法

分析ESS治疗40例(70侧)慢性鼻窦炎和鼻息肉的临床资料。

结果

40例随访6个月以上的患者中,治愈25例(73.5%),好转7例(20.6%),无效2例(5.9%)。有效率为94.1%。无严重手术并发症。术后1例出血,2例中鼻甲与鼻中隔粘连。

结论

ESS治疗慢性鼻窦炎和鼻息肉有效。手术成功与精湛的手术技巧直接相关。术后定期对术腔进行随访和清理是确保长期最佳效果的重要因素。

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