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[鼻内筛窦切除术治疗息肉病]

[Endonasal ethmoidectomy in the treatment of polyposis].

作者信息

Piquet J J, Darras J A, Garcette L, Chevalier D, Crinquette V, Vaneecloo F M

机构信息

Clinique ORL, Hôpital C. Huriez, Lille.

出版信息

Ann Otolaryngol Chir Cervicofac. 1989;106(7):505-9.

PMID:2589753
Abstract

The authors report their experience with 210 microsurgical ethmoidectomies carried out in 109 patients between 1980 and 1987. In 23 patients the anatomy was considerably modified due to previous surgery. Asthma was present in 56 patients and 25 patients suffered from Widal's syndrome. The complications noted included 1 case of meningitis cured by antibiotics and a case of transient diplopia. Patients were monitored for 1 to 6 years; In 69 cases no recurrence was noted (63% of cases), 31 patients (28%) only required minor local procedures for slight recurrence (28%). On the other hand, 6 patients (5.5%) required a second surgical procedure for recurrence between 3 and 6 years.

摘要

作者报告了他们在1980年至1987年间对109例患者实施210例显微外科筛窦切除术的经验。23例患者的解剖结构因先前手术而有相当大的改变。56例患者患有哮喘,25例患者患有魏氏综合征。记录的并发症包括1例经抗生素治愈的脑膜炎和1例短暂性复视。对患者进行了1至6年的监测;69例未发现复发(占病例的63%),31例患者(28%)仅因轻微复发需要进行 minor 局部手术(28%)。另一方面,6例患者(5.5%)在3至6年后因复发需要进行二次手术。

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