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[鼻内筛骨手术的远期结果,特别涉及息肉样鼻窦炎]

[Late results of endonasal ethmoid bone operation with special reference to polypous sinusitis].

作者信息

Hilka M B, Koch T, Laszig R

机构信息

Hals-Nasen-Ohren-Klinik der Medizinischen Hochschule Hannover.

出版信息

HNO. 1992 May;40(5):165-9.

PMID:1612931
Abstract

Out of total of 164 patients with chronic sinusitis undergoing intranasal microsurgery, 94 patients were submitted to a detailed analysis one year later. The patients were divided into groups of polypoid and hyperplastic sinusitis, depending on the morphological appearances and the histology of the tissue removed. Patients with polyps showed a significantly higher rate of recurrent (47%) than patients with hyperplastic sinusitis (8.6%). Allergy or bronchial asthma did not influence significantly the rate of recurrence in patients with nasal polyposis, whereas patients with a hyperplastic sinusitis showed a higher recurrence rate if they were atopic as well. However, even patients with polypoid sinusitis gained marked long-term relief of nasal obstruction and other symptoms.

摘要

在总共164例接受鼻内显微手术的慢性鼻窦炎患者中,一年后对94例患者进行了详细分析。根据切除组织的形态外观和组织学,将患者分为息肉样鼻窦炎组和增生性鼻窦炎组。息肉患者的复发率(47%)显著高于增生性鼻窦炎患者(8.6%)。过敏或支气管哮喘对鼻息肉患者的复发率没有显著影响,而增生性鼻窦炎患者如果也是特应性体质,则复发率较高。然而,即使是息肉样鼻窦炎患者也在鼻塞和其他症状方面获得了显著的长期缓解。

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