[256例鼻内镜鼻窦手术的结果]
[The outcome of 256 cases of endoscopic sinus surgery].
作者信息
Liu Xinxia, Tian Chuanmei
机构信息
Department of Otolaryngology, Liaocheng International Peace Hospital, Liaocheng 252000, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Oct;24(20):934-6.
OBJECTIVE
To evaluate the curative effect of endoscopic sinus surgery (ESS).
METHOD
Two hundred and fifty-six cases with chronic sinusitis and nasal polyps, undergone ESS from 2001 to 2007 were analysed. There were 106 cases in type 1, 134 cases in type 2 and 16 cases in type 3. Two hundred and forty-six cases undergone ESS with intranasal local anesthesia and potentialized anesthesia. Long-time follow-up was performed at 9 to 42 months (mean = 15 months).
RESULT
The results showed that cure rate was 78.3% for type 1, 66.4% for type 2 and 43.8% for type 3. There was significant difference in cure rate between type 1, type 2 and type 3 (P < 0.01). Complication of ESS of 256 cases was 4.3%.
CONCLUSION
There was higher efficacy and safety for relief of nasal polyps and for relief of chronic sinusitis with ESS. The difference of clinical type in nasal polyps and chronic sinusitis affected directly surgical result.
目的
评估鼻内镜鼻窦手术（ESS）的疗效。
方法
分析2001年至2007年接受ESS治疗的256例慢性鼻窦炎和鼻息肉患者。1型106例，2型134例，3型16例。246例行ESS并采用鼻内局部麻醉和强化麻醉。进行了9至42个月（平均15个月）的长期随访。
结果
结果显示，1型治愈率为78.3%，2型为66.4%，3型为43.8%。1型、2型和3型之间的治愈率有显著差异（P < 0.01）。256例ESS的并发症发生率为4.3%。
结论
ESS治疗鼻息肉和慢性鼻窦炎有较高的疗效和安全性。鼻息肉和慢性鼻窦炎临床类型的差异直接影响手术效果。
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