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目的探讨鼻内窥镜治疗慢性鼻窦炎鼻息肉临床疗效。方法选取本院2006年10月至2008年10月45例慢性鼻窦炎、鼻息肉患者。经保守治疗效果不佳,全部患者术前常规行鼻窦冠状位和轴位CT检查。而后行鼻内窥镜下慢性鼻窦炎鼻息肉手术。结果本组45例患者中治愈36例(80%),好转5例(11.1%),无效4例(8.9%),总有效率为91.1%,术后并发症主要是鼻腔粘连,有1例,均在内窥镜下予以分离后治愈。结论鼻内窥镜手术治疗慢性鼻窦炎及鼻息肉传统的鼻窦手术相比有组织损伤小,保存鼻腔生理功能,术后复发率低,但要尽可能的减少相关并发症,提高手术疗效。
Objective To investigate the clinical efficacy of nasal endoscopy in the treatment of chronic sinusitis and nasal polyps. Methods Select our hospital from October 2006 to October 2008 45 cases of chronic sinusitis, nasal polyps patients. After conservative treatment ineffective, all patients preoperative routine sinus coronal and axial CT examination. Then under nasal endoscopic sinus surgery under nasal polyps. Results In the 45 patients, 36 cases were cured (80%), 5 cases (11.1%) were improved, 4 cases (8.9%) were ineffective, the total effective rate was 91.1%. The postoperative complications were mainly nasal adhesions and 1 case , Were cured after endoscopic separation. Conclusion Compared with traditional sinus surgery for chronic sinusitis and nasal polyps, endoscopic sinus surgery has less tissue damage and preservation of nasal physiological function. The postoperative recurrence rate is lower. However, it is necessary to reduce the related complications as much as possible and improve the curative effect.