当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
29期
70-71
,共2页
鼻内镜%鼻窦炎%鼻息肉%疗效分析
鼻內鏡%鼻竇炎%鼻息肉%療效分析
비내경%비두염%비식육%료효분석
Endoscopic%Sinusitis%Nasal polyps%Efficacy analysis
目的：探究鼻内镜手术治疗鼻窦炎鼻息肉的疗效。方法选择邵东县人民医院自2009年1月～2011年6月收治的116例鼻窦炎、鼻息肉患者，对其实施鼻内镜手术，术后随访1年。结果治愈患者71例（61.2％），好转患者37例（31.9％），无效患者8例（6.9％），总有效率93.1％（108/116）。术后主要并发症为鼻腔黏连，其中中鼻甲与鼻腔外侧壁黏连31例，筛窦腔黏连封闭19例，中鼻甲与鼻中隔黏连7例，下鼻甲与鼻中隔黏连5例。并发症总发生率为53.4％（62/116）。结论鼻内镜下鼻窦炎、鼻息肉手术治疗疗效显著，且术后正确处理鼻中隔及中下鼻甲，同时定期随访可有效增加有效率，减少并发症的发生。
目的：探究鼻內鏡手術治療鼻竇炎鼻息肉的療效。方法選擇邵東縣人民醫院自2009年1月～2011年6月收治的116例鼻竇炎、鼻息肉患者，對其實施鼻內鏡手術，術後隨訪1年。結果治愈患者71例（61.2％），好轉患者37例（31.9％），無效患者8例（6.9％），總有效率93.1％（108/116）。術後主要併髮癥為鼻腔黏連，其中中鼻甲與鼻腔外側壁黏連31例，篩竇腔黏連封閉19例，中鼻甲與鼻中隔黏連7例，下鼻甲與鼻中隔黏連5例。併髮癥總髮生率為53.4％（62/116）。結論鼻內鏡下鼻竇炎、鼻息肉手術治療療效顯著，且術後正確處理鼻中隔及中下鼻甲，同時定期隨訪可有效增加有效率，減少併髮癥的髮生。
목적：탐구비내경수술치료비두염비식육적료효。방법선택소동현인민의원자2009년1월～2011년6월수치적116례비두염、비식육환자，대기실시비내경수술，술후수방1년。결과치유환자71례（61.2％），호전환자37례（31.9％），무효환자8례（6.9％），총유효솔93.1％（108/116）。술후주요병발증위비강점련，기중중비갑여비강외측벽점련31례，사두강점련봉폐19례，중비갑여비중격점련7례，하비갑여비중격점련5례。병발증총발생솔위53.4％（62/116）。결론비내경하비두염、비식육수술치료료효현저，차술후정학처리비중격급중하비갑，동시정기수방가유효증가유효솔，감소병발증적발생。
Objective To investigate the efifcacy of endoscopic sinus surgery for sinusitis and nasal polyps. Methods Selected 116 cases of patients with sinusitis, nasal polyps, its implementation endoscopic sinus surgery, patients were followed up for 1 year. Results 71 cases of patients were cured (61.2%), 37 cases of patients were improved (31.9%), 8 cases of patients were invalid (6.9%), the total efifciency was 93.1%(108/116). The main complications of nasal adhesions,which 31 cases of patients were the middle turbinate and the lateral nasal wall adhesions, 19 cases of patients were ethmoid cavity adhesions closed, 7 cases of patients were middle turbinate and nasal adhesions, 5 cases of patients were inferior turbinate and nasal adhesions. The overall incidence of complications was 53.4%(62/116). Conclusion Endoscopic sinusitis, nasal polyps surgery has a significant effect, and after proper treatment of the nasal septum and the inferior turbinate, and regular follow-up can effectively increase efifciency, reduce the incidence of complications.
