Rowe-Jones J M, Mackay I S
Department of Otorhinolaryngology, Charing Cross Hospital, London, UK.
Laryngoscope. 1996 Dec;106(12 Pt 1):1540-4. doi: 10.1097/00005537-199612000-00019.
We have performed endoscopic sinus surgery on 46 patients with chronic, polypoid rhinosinusitis since 1989. Follow-up ranged from 1 month to 6 years (mean, 28.2 months). Overall, our patients had a 50% chance either of their symptoms returning to preoperative severity or of undergoing a second endoscopic sinus procedure, by 18 to 24 months of postoperative follow-up. Patients with predominantly infective symptoms of mucopurulent rhinorrhea and pain had a significantly better outcome than those with predominantly nasal blockage. The chance of the former group of patients suffering symptom deterioration back to the preoperative state or undergoing a second endoscopic sinus operation was 37% of that of the latter group. The extent of disease on computed tomography scan had no relation to outcome.
自1989年以来，我们对46例慢性息肉样鼻窦炎患者实施了鼻内镜鼻窦手术。随访时间为1个月至6年（平均28.2个月）。总体而言，术后18至24个月的随访结果显示，我们的患者有50%的几率出现症状恢复到术前严重程度或接受第二次鼻内镜鼻窦手术。以黏液脓性鼻漏和疼痛等主要感染症状为主的患者，其预后明显好于以鼻塞为主的患者。前一组患者症状恶化回到术前状态或接受第二次鼻内镜鼻窦手术的几率是后一组患者的37%。计算机断层扫描显示的疾病范围与预后无关。
