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目的 探讨渔民职业、环境、生活习惯对慢性鼻窦炎的发生及其手术疗效的影响。方法 采用鼻内镜及部分柯 -陆手术联合进路术式治疗慢性鼻窦炎、鼻息肉 15 0例 ;术后换药清洗局部给药及鼻窦冲洗、同期行鼻中隔偏曲矫正术或肥厚粘膜切除术 87例 ,下鼻甲手术 5 6例 ;对常年变应性鼻炎 16例进行微波下鼻甲鼻丘及鼻中隔点射气化治疗。结果 手术后随访 6～ 12个月 ,其中治愈 10 2例 ,占6 8% ;好转 2 6例 ,占 17% ;无效 2 2例 ,占 14%。结论 鼻窦内镜手术 +柯 -陆手术联合进路术式操作治疗 ,术后医患双方重视换药 ,清理、冲洗避免不良刺激 ,是提高慢性鼻窦炎手术疗效的重要环节
Objective To investigate the effects of occupational, environmental and lifestyle habits of fishermen on the occurrence of chronic sinusitis and its curative effect. Methods Fifteen cases of chronic sinusitis and nasal polyps were treated with nasal endoscopy and partial keratoplasty combined with land-based surgical approach. Local dressing and cleansing of nasal polyps were performed after operation, nasal septum deviation correction or hypertrophic mucosa resection 87 cases of surgery, inferior turbinate surgery 56 cases; perennial allergic rhinitis in 16 cases under the nasal turbinates nasal septum and gasification treatment. Results The patients were followed up for 6 to 12 months after operation, of which 102 cases were cured, accounting for 68%; 26 cases improved, accounting for 17%; 22 cases ineffective, accounting for 14%. Conclusions Sinus endoscopic sinus surgery + Ke-Lu surgery combined with surgical treatment, both doctors and patients attach importance to dressing, cleaning, washing to avoid adverse stimuli after surgery is an important part of improving the curative effect of chronic sinusitis