Simon D, Fombeur J P, Ebbo D, Lecomte F, Koubbi G, Barrault S
Service ORL, Hôpital Saint-Michel, Paris.
Ann Otolaryngol Chir Cervicofac. 1995;112(8):359-66.
We assessed retrospectively functional and endoscopic results obtained in 110 patients who underwent endonasal ethmoidectomy (n = 218). The patients were divided into 3 groups according to associated pathology (polyposis alone, asthma without intolerance to aspirin, Widal's disease) and outcome was evaluated after a mean 19.5 month follow-up. Function was improved in 88% of the patients. Endoscopic recurrence was seen in 40% of the patients including 10% with major polyposis. Oedema of the mucose remained in 20% of the patients and the mucosa was normal in 40%. Improvement in patients with Widal's disease was the least favourable among the three groups and was best in those with asthma and no intolerance to aspirin. Post-operative complications occurred in 12.6% of the patients and were severe in 0.9%. These satisfactory results, both in terms of function and the low rate of complications, suggest that the current medicosurgical management should be continued with particular attention to the rate of endoscopic recurrence.
我们回顾性评估了110例接受鼻内筛窦切除术（共218侧）患者的功能和内镜检查结果。根据相关病理情况（单纯息肉病、无阿司匹林不耐受的哮喘、伤寒）将患者分为3组，并在平均随访19.5个月后评估结果。88%的患者功能得到改善。40%的患者出现内镜复发，其中10%为重度息肉病。20%的患者黏膜仍有水肿，40%的患者黏膜正常。在三组中，伤寒患者的改善情况最不理想，而哮喘且无阿司匹林不耐受的患者改善情况最佳。12.6%的患者发生术后并发症，其中0.9%为严重并发症。这些在功能和低并发症发生率方面都令人满意的结果表明，当前的药物手术治疗应继续进行，尤其要关注内镜复发率。
