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目的:分析影响内镜手术疗效的原因。方法:对128例(180侧)鼻窦炎、鼻息肉伴鼻腔结构变异或病理生理改变的患者行鼻内镜手术,其中64例(100侧)单纯行功能性鼻内镜手术(FESS)(对照组),另64例(80侧)行鼻内镜手术的同时对其中变异的中、下鼻甲及鼻中隔偏曲进行处理(处理组)。术后对这2组的疗效进行对比观察。结果:随访6个月～3年,处理组有效率明显高于对照组(P<0.01)。结论:鼻内镜手术中同时处理鼻腔相关疾病,对于改善鼻腔通气引流、减少粘连具有重要意义,是提高内镜手术疗效的重要环节。
Objective: To analyze the causes of the effect of endoscopic surgery. Methods: 128 patients (180 sides) of sinusitis, nasal polyps with nasal structure variation or pathophysiological changes underwent endoscopic sinus surgery, including 64 cases (100 sides) simple line functional endoscopic sinus surgery (FESS) (control Group), while the other 64 cases (80 sides) underwent endoscopic sinus surgery while the variation of the middle and inferior turbinate and nasal septum deviation treatment (treatment group). Postoperative contrast in the efficacy of these two groups observed. Results: After 6 months to 3 years of follow-up, the effective rate of the treatment group was significantly higher than that of the control group (P <0.01). Conclusion: Nasal endoscopic surgery in the simultaneous treatment of nasal diseases, for the improvement of nasal ventilation and drainage, reduce the adhesion is of great significance, is to improve the efficacy of endoscopic surgery an important part.