Penttilä M, Rautiainen M, Pukander J, Kataja M
Department of Otorhinolaryngology, Tampere University Hospital, Finland.
Acta Otolaryngol Suppl. 1997;529:173-6. doi: 10.3109/00016489709124114.
Randomized FES or Caldwell-Luc (C-L) operations were performed in 150 patients suffering from chronic maxillary sinusitis during 1987-1989. Follow-up examination was done for 143 patients (95%) 1 year postoperatively. Although 15 patients had already deceased, questionnaires were obtained from 128 patients (85%) 5-9 years after operation. One year after surgery 51% of the C-L patients and 77% of the FES patients reported no symptoms or distinct improvement in their global symptoms, whereas 5-9 years postoperatively 82% of the C-L and 76% of the FES patients reported this outcome, respectively. Thirteen C-L operated patients (18%) and 14 FES patients (20%) have been reoperated during 7-9 years follow-up. In most cases revision surgery was done for polyposis or maxillary sinusitis. In the long term, altogether 21 patients (28%), including 14 reoperated patients, were failures after FES. These included also 4 patients with global symptoms unchanged at late inquiry and 3 other patients, though getting better, reported unwillingness for FES operation if they had known the result beforehand.
1987年至1989年期间，对150例慢性上颌窦炎患者进行了随机分组的功能性内窥镜鼻窦手术（FES）或柯-陆氏（C-L）手术。术后1年对143例患者（95%）进行了随访检查。尽管有15例患者已经死亡，但术后5至9年仍从128例患者（85%）那里获得了问卷。术后1年，C-L手术患者中有51%、FES手术患者中有77%报告无任何症状或整体症状有明显改善；而术后5至9年，C-L手术患者和FES手术患者中分别有82%和76%报告了这一结果。在7至9年的随访期间，有13例接受C-L手术的患者（18%）和14例FES手术患者（20%）再次接受了手术。在大多数情况下，翻修手术是针对息肉病或上颌窦炎进行的。从长期来看，FES手术共有21例患者（28%）失败，其中包括14例再次接受手术的患者。这还包括4例在后期询问时整体症状未改变的患者，以及另外3例患者，尽管病情有所好转，但他们表示如果事先知道结果，就不愿意接受FES手术。
