Sun H, Tan G, Xiao J
Third Affiliated Hospital of Human Medical University, Changsha.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1996;31(1):18-9.
Sixty-nine patients (121 sides) received endoscopic sinus surgery between May, 1993 and October, 1994. All of the patients exhibited following clinical signs: bilateral or unilateral nasal polyps and paranasal sinusitis. There were 43 men and 26 women, ranging in age from 14 to 68 years. Among the patients, 14 (25 sides) were treated with functional ethmoidectomy; 33 (59 sides) with total ethmoidectomy; and 21 (36 sides) with sphenoethmoidectomy. 23 patients (36 sides) were treated simultaneously with radical maxillary sinus surgery. According to the data of postoperative follow-up, nasal obstruction disappeared completely in 57 cases (57/59); headache remitted in 51 (51/56); and 35 (35/54) were free of purulent nasal discharge. No severe complications were observed. The incidence of residual and recurrent polyp were 12.39% (15/121 sides). The curative effect of endoscopic sinus surgery was analysed. The indications of operation, the preoperative CT scan of paranasal sinuses, and the endoscopic techniques were discussed.
1993年5月至1994年10月期间，69例患者（121侧）接受了鼻内镜鼻窦手术。所有患者均表现出以下临床症状：双侧或单侧鼻息肉和鼻窦炎。其中男性43例，女性26例，年龄在14至68岁之间。患者中，14例（25侧）接受了功能性筛窦切除术；33例（59侧）接受了全筛窦切除术；21例（36侧）接受了蝶筛窦切除术。23例患者（36侧）同时接受了上颌窦根治术。根据术后随访资料，57例（57/59）鼻塞完全消失；51例（51/56）头痛缓解；35例（35/54）无脓性鼻涕。未观察到严重并发症。息肉残留和复发率为12.39%（15/121侧）。分析了鼻内镜鼻窦手术的疗效。讨论了手术适应证、术前鼻窦CT扫描及鼻内镜技术。
