Yang J J, Xie M Q, Xu G, Li Y, Yuan X P
Department of Otolaryngology, Third Affiliated Hospital, Sun Yat-Sen University of Medical Sciences, Guangzhou 510630.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2000 Nov;14(11):496-8.
To explore the curative effect of endoscopic sinus surgery (ESS) and the factors associated with surgery effect for treating children with chronic sinusitis.
Thirty-one children with a median age of 10 years (range 5-14 years) who suffered from chronic sinusitis or/and nasal polyps and were operated via ESS from May 1996 to January 1999 were retrospectively analyzed.
According to the therapeutic evaluation standard (ESS-1997, Haikou), twelve cases (38.7%) were completely cured, fifteen cases (48.4%) were improved and four children (12.9%) showed no change with a general effective rate of 87.1% without any severe operative complication.
The results suggested ESS is a safe and effective method in the treatment of children with chronic sinusitis or/and nasal polyps. Furthermore, meticulous postoperative endoscopic care and medication are also important for securing optimal long-term results.
探讨鼻内镜鼻窦手术（ESS）治疗儿童慢性鼻窦炎的疗效及与手术效果相关的因素。
回顾性分析1996年5月至1999年1月间31例接受ESS手术的慢性鼻窦炎或/和鼻息肉患儿，中位年龄10岁（范围5 - 14岁）。
根据治疗评估标准（ESS - 1997，海口），12例（38.7%）完全治愈，15例（48.4%）好转，4例（12.9%）无变化，总有效率87.1%，无任何严重手术并发症。
结果表明ESS是治疗儿童慢性鼻窦炎或/和鼻息肉的一种安全有效的方法。此外，术后细致的内镜护理和药物治疗对于确保最佳长期效果也很重要。
