Hosemann W, Wigand M E, Fehle R, Sebastian J, Diepgen D L
Universitäts-HNO-Klinik Erlangen.
HNO. 1988 Feb;36(2):54-9.
Endonasal endoscopic surgery of the paranasal sinuses for chronic sinusitis has been accepted as the treatment of choice by many authors, but detailed evaluation of the results is often lacking. Of a consecutive series of 220 patients with diffuse chronic paranasal polyposis who had undergone endoscopic pan-sinus operations, 90 were re-examined endoscopically after 1-7 years. Normal respiratory mucosa was found in 57% of cases and minor circumscribed mucosal hyperplasia in a further 25%. Unsatisfactory healing or recurrence of polypi was found in 18%. A questionnaire completed by all 220 patients showed that 49% were completely relieved, 33% reported a marked improvement, 12% remained unchanged, and 6% claimed a deterioration. Of those patients with polyposis and bronchial asthma, 57% achieved marked relief. The very low incidence of surgical complications after complete endoscopic ethmoidectomy should be emphasized.
鼻内镜鼻窦手术治疗慢性鼻窦炎已被许多作者视为首选治疗方法，但对其结果的详细评估往往缺乏。在连续220例接受内镜全鼻窦手术的弥漫性慢性鼻息肉病患者中，90例在1至7年后接受了内镜复查。57%的病例发现有正常呼吸黏膜，另有25%有轻度局限性黏膜增生。18%的病例愈合不满意或息肉复发。所有220例患者填写的问卷显示，49%的患者完全缓解，33%报告有明显改善，12%无变化，6%称病情恶化。在患有息肉病和支气管哮喘的患者中，57%的患者症状明显缓解。应强调完全内镜筛窦切除术后手术并发症的发生率极低。
