综合治疗复发性鼻窦炎鼻息肉

山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (4): 44-45.

综合治疗复发性鼻窦炎鼻息肉

张耀利，王大全，傅伟，仇传贤

淄博齐都医院耳鼻咽喉科, 山东淄博 255400

收稿日期:2012-06-06 出版日期:2012-08-16 发布日期:2012-08-16
作者简介:张耀利。Email: zyl0533@163.com

Treatment for recurrent sinusitis and nasal polyps

ZHANG Yao-li, WANG Da-quan, FU Wei, QIU Chuan-xian.

Department of Otorhinolaryngology, Zibo Qidu Hospital, Zibo 255400, Shandong, China

Received:2012-06-06 Online:2012-08-16 Published:2012-08-16

摘要/Abstract

摘要：

目的探讨手术及综合治疗复发性鼻窦炎、鼻息肉的临床疗效。方法鼻内镜下对31例鼻窦炎鼻息肉复发患者行彻底手术,围手术期应用抗生素和口服皮质激素,术后鼻内镜定期复查，清除残余息肉、肉芽及鼻痂，严密随访。结果黏膜上皮化较快,窦口畅通, 其中治愈25例,占80.6%,好转6例,占19.4%,无效0例。结论窦口粘连、黏膜过敏水肿、病灶残留是鼻窦炎鼻息肉复发的主要原因,术后口服脱敏药及大环内酯类药物等综合治疗，远期效果更佳。

关键词: 鼻窦炎;鼻息肉;鼻内镜外科手术

Abstract:

Objective To investigate the efficacy of comprehensive treatment for recurrent sinusitis and polyps. Methods Thirty-one patients with recurrent sinusitis and nasal polyps underwent endoscopic sinus surgery, peri-operatively used antibiotics and oral corticosteroids, and were subjected to periodic reviews. Results 25 patients were cured, 6 were improved. Conclusion Sinus adhesion, allergic mucosal edema, and residual lesion are major causes of recurrent sinusitis and nasal polyposis. Post-operative therapy with oral desensitization drugs and macrolides is good in long-term effect.

Key words: Sinusitis; Nasal polyps; Endoscopic surgical proceduces, operative

中图分类号:

R765.41

张耀利，王大全，傅伟，仇传贤 . 综合治疗复发性鼻窦炎鼻息肉[J]. 山东大学耳鼻喉眼学报, 2012, 26(4): 44-45.

ZHANG Yao-li, WANG Da-quan, FU Wei, QIU Chuan-xian.. Treatment for recurrent sinusitis and nasal polyps[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(4): 44-45.

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