鼻内镜下手术治疗慢性鼻窦炎、鼻息肉180例

山东大学耳鼻喉眼学报

鼻内镜下手术治疗慢性鼻窦炎、鼻息肉180例

白广平¹，李俊¹，董频²

1. 复旦大学附属中山医院青浦分院耳鼻喉科，上海青浦 201700；2. 上海交通大学附属上海市第一人民医院耳鼻喉头颈外科，上海 200080

收稿日期:2008-02-26 修回日期:2008-05-31 出版日期:2008-06-16 发布日期:2008-06-16
通讯作者: 白广平

Endscopic surgery for chronic nasosinusitis and nasal polyps in 180 cases

BAI Guang-ping^１， LI Jun^１, DONG Pin^２

1. Department of Otolaryngology, Qingpu Branch of Zhongshan Hospital, Fudan University, Qingpu 201700, Shanghai， China; 2. Department of Otolaryngology & Head and Neck Surgery, Shanghai First People′s Hospital, Shanghai Communication University, Shanghai 200080, China

Received:2008-02-26 Revised:2008-05-31 Online:2008-06-16 Published:2008-06-16
Contact: BAI Guang-ping

摘要/Abstract

摘要： 目的探讨鼻内镜手术治疗慢性鼻窦炎、鼻息肉的疗效及相关影响因素。方法对实施内窥镜鼻窦手术并完成术后随防6个月以上的180例患者进行病历资料分析。其中Ⅰ型1期12例、2期15例、3期44例，Ⅱ型1期30例、2期43例、3期14例，Ⅲ型22例。结果治愈率Ⅰ型94.4％、Ⅱ型74.7%、Ⅲ型63.6%。结论鼻内镜手术治疗慢性鼻窦炎、鼻息肉切实有效，疗效与临床分型密切相关，规范的术后处理是提高治愈率的关键。

关键词: 鼻窦炎, 鼻息肉, 鼻内窥镜

Abstract: To study the curative effect of endscopic sinus surgery(ESS) in treatment of chronic nasosinusitis and nasal polyps. MethodsThe clinical data of 180 cases subjected to ESS from 2003 to 2005 were retrospectively analyzed. Of them, 12 cases were I type grade 1, 15 were Ⅰ type grade 2, 44 were Ⅰ type grade 3, 30 were Ⅱ type grade 1, 43 were Ⅱ type grade 2, 14 were Ⅱ type grade 3 and 22 were Ⅲ type. ResultsThe curative rate was 94.4% for type I, 74.7% for type Ⅱ and 63.6% for type Ⅲ（P<0.01）. ConclusionsThe curative effect of ESS was successful. ESS is an effective method in the cure of chronic sinusitis and nasal polyps. The curative result is directly related to the type of diseases. Experienced technique is most important for a perfect operation, and after the operations, normative treatment can improve the cure rate.

Key words: sinusitis, Endoscopy, sinus surgery

中图分类号:

R765.4

白广平,李俊,董频 . 鼻内镜下手术治疗慢性鼻窦炎、鼻息肉180例[J]. 山东大学耳鼻喉眼学报, 2008, 22(3): 242-243 .

BAI Guang-ping,LI Jun,DONG Pin . Endscopic surgery for chronic nasosinusitis and nasal polyps in 180 cases[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 242-243 .

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