国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
8期
34-35
,共2页
功能性鼻内窥镜手术(FESS)%基层医院%体会
功能性鼻內窺鏡手術(FESS)%基層醫院%體會
공능성비내규경수술(FESS)%기층의원%체회
Functional endoscopic sinus surgery%Basic-level hospital%Experience
目的 介绍功能性鼻内窥镜鼻窦手术在基层医院开展的体会.方法 分析250例慢性鼻-鼻窦炎、鼻息肉行功能性鼻内窥镜鼻窦手术的疗效.结果 治愈210例,好转30例,无效10例,总有效率为96%.头痛完全缓解者150例,鼻塞完全消除者200例,脓鼻涕完全消失者186例,嗅觉完全或部分恢复者58例.结论 功能性鼻内镜鼻窦手术具有视角宽阔、视野清晰、操作精细、创伤小等优点,对治疗慢性鼻-鼻窦炎,鼻息肉病疗效显著,基层医院如有条件应尽量开展.CT扫描及内镜检查分型对确定麻醉方式、手术方式有直接指导意义;完整的围手术期综合治疗和及时的术后处理,是保证疗效的重要手段.
目的 介紹功能性鼻內窺鏡鼻竇手術在基層醫院開展的體會.方法 分析250例慢性鼻-鼻竇炎、鼻息肉行功能性鼻內窺鏡鼻竇手術的療效.結果 治愈210例,好轉30例,無效10例,總有效率為96%.頭痛完全緩解者150例,鼻塞完全消除者200例,膿鼻涕完全消失者186例,嗅覺完全或部分恢複者58例.結論 功能性鼻內鏡鼻竇手術具有視角寬闊、視野清晰、操作精細、創傷小等優點,對治療慢性鼻-鼻竇炎,鼻息肉病療效顯著,基層醫院如有條件應儘量開展.CT掃描及內鏡檢查分型對確定痳醉方式、手術方式有直接指導意義;完整的圍手術期綜閤治療和及時的術後處理,是保證療效的重要手段.
목적 개소공능성비내규경비두수술재기층의원개전적체회.방법 분석250례만성비-비두염、비식육행공능성비내규경비두수술적료효.결과 치유210례,호전30례,무효10례,총유효솔위96%.두통완전완해자150례,비새완전소제자200례,농비체완전소실자186례,후각완전혹부분회복자58례.결론 공능성비내경비두수술구유시각관활、시야청석、조작정세、창상소등우점,대치료만성비-비두염,비식육병료효현저,기층의원여유조건응진량개전.CT소묘급내경검사분형대학정마취방식、수술방식유직접지도의의;완정적위수술기종합치료화급시적술후처리,시보증료효적중요수단.
Objective To introduce the experience of startting functional endoscopic sinus surgery in basic-level hospital.Method Analyzes 250 chronic rhinosinusitis and nasal polyp patients who underwent Fess in our hospital between January 2004 and September 2007.Result 210 Cases have complete improvement,30 cases have partiai improvement,and 10 cases have no change or deterioration.150 patients have no rhinogenic headacbe after Fess,200 patients have no nasal obstruction,186 patients have no purulent rhinorrhea,58 patients' hyposmia have resolved or improved.Conclusion Fess have advatages of wide-field,clear operational field,less hemorrhage and damage,it has a very good therapeutic effectiveness to CRS and nasal polyp.It is worlth starting fess in basic-level hospital which have enough operation qualificaion.CT scan and nasal endoscopic study have dirrect and important messege to eveluale the type and extent of the diseaes and so help us to deside which means of opetation and anaesthesia is the best choice.Skilled and careful operation and correct postopetative therapy are important approaches to increase the Tecovery rate.
