山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (1): 38-41.doi: 10.6040/j.issn.1673-3770.1.2018.018

• 专家笔谈 • 上一篇    下一篇

合并哮喘的慢性鼻-鼻窦炎的鼻内镜手术治疗

余洪猛*(),刘琢扶,戴琪   

  1. 复旦大学附属眼耳鼻喉科医院耳鼻喉科研究院，上海 200031
  • 收稿日期:2018-09-21 出版日期:2019-01-20 发布日期:2019-01-28
  • 通讯作者: 余洪猛 E-mail:hongmengyush@163.com
  • 作者简介:余洪猛，主任医师，博士生导师。复旦大学眼耳鼻喉科医院耳鼻喉科研究院副院长，耳鼻喉科副主任，鼻科主任，鼻颅底外科主任。主要学术任职：中国医师协会耳鼻咽喉科医师分会鼻科学组副组长，中国中西医结合学会耳鼻咽喉科专业委员会鼻颅底肿瘤及嗅觉专病专家委员会主任，中国医师协会耳鼻咽喉科医师分会委员，国家卫生计生委能力建设和继续教育耳鼻喉科专家委员会委员(鼻颅底外科学组)，中国中西医结合学会耳鼻咽喉科专业委员会委员，上海市医师协会耳鼻喉科医师分会委员，上海市中西医结合学会耳鼻咽喉科专业委员会副主任委员。担任《国际耳鼻咽喉头颈外科杂志》等多家杂志编委。曾赴德国Fulda医院世界著名鼻颅底外科Wolfgang Draf教授处和美国匹兹堡颅底外科中心学习鼻颅底外科技术

Endoscopic sinus surgery for chronic sinusitis with asthma

Hongmeng YU*(),Zhuofu LIU,Qi DAI   

  1. Institute of Otolaryngology, Eye and ENT Hospital, Fudan University, Shanghai 200031, China
  • Received:2018-09-21 Online:2019-01-20 Published:2019-01-28
  • Contact: Hongmeng YU E-mail:hongmengyush@163.com

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摘要：

慢性鼻-鼻窦炎(CRS)是一种异质性的疾病，其中合并哮喘的患者占到10%~40%，且在全球范围内呈上升趋势。在哮喘患者中，CRS的发病率也高于一般人群。目前大部分的研究认为鼻内镜手术结合药物治疗对合并哮喘的CRS患者的鼻部症状有明显的改善作用，且有利于哮喘的长期管理。但是此类患者术后易复发，围手术期手术风险也较高。将重点论述合并哮喘的CRS患者的术前评估和围手术期管理、手术方式的选择及鼻内镜手术术后对哮喘的影响等。

关键词: 慢性鼻-鼻窦炎, 哮喘, 鼻内镜外科手术

Abstract:

Chronic rhinosinusitis (CRS) is a heterogeneous disease, and patients with asthma account for 10%-40% of the CRS cases and this number is increasing worldwide. In addition, the incidence of CRS is higher in patients with asthma than in the general population. At present, most of the studies suggest that endoscopic surgery combined with drug therapy can significantly improve the nasal symptoms of patients with CRS accompanied by asthma, and is conducive to long-term management of asthma. However, such patients are prone to recurrence after surgery and the risk for perioperative surgery is also high. This article focuses on the preoperative evaluation and perioperative management of patients with CRS accompanied by asthma, choice of surgical methods, and impact of endoscopic surgery on asthma.

Key words: Chronic rhinosinusitis, Asthma, Endoscopic surgical procedures, operative

中图分类号: 

  • R765.4
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