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目的:探讨对复发性鼻窦炎、鼻息肉采用修正性手术及综合治疗的临床疗效。方法:对72例复发性鼻窦炎、鼻息肉患者行修正性鼻内镜手术,其中3例行鼻内镜下鼻腔外侧壁切开上颌窦手术,16例行Draf(Ⅰ～Ⅱ)鼻内额窦引流术,并且对所有患者进行综合治疗(包括围手术期用药及术后鼻内镜定期复查清除残余息肉、肉芽、囊泡)。结果:72例(109侧)患者随访1年以上,其中治愈52例,好转14例,无效6例,治疗有效率为91.67%(66/72),且手术无严重的并发症发生。结论:充分的术前准备、熟练的手术操作、合理的围手术期用药以及加强术后随访时的鼻内镜定期复查是提高复发性鼻窦炎、鼻息肉手术疗效的关键因素。
Objective: To investigate the clinical efficacy of modified surgery and comprehensive treatment of recurrent sinusitis and nasal polyps. Methods: A total of 72 patients with recurrent sinusitis and nasal polyps underwent endoscopic sinus surgery. Among them, 3 patients underwent maxillofacial sinus surgery by nasal endoscopic nasal lateral wall and 16 underwent Draf (Ⅰ ~ Ⅱ) intranasal Sinus drainage, and comprehensive treatment of all patients (including perioperative medication and postoperative endoscopic sinus surgery to remove residual polyps, granulation, vesicles). Results: 72 cases (109 sides) were followed up for more than one year. Among them, 52 cases were cured, 14 cases improved, 6 cases were ineffective, and the effective rate was 91.67% (66/72). There was no serious complication in the operation. Conclusion: Adequate preoperative preparation, skilled operation, reasonable perioperative medication and regular postoperative follow-up of endoscopic sinus surgery are the key factors to improve the efficacy of recurrent sinusitis and nasal polyps.