吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2015年
6期
1122-1123
,共2页
复发性Ⅲ型鼻窦炎鼻息肉%内镜手术%复查%疗效
複髮性Ⅲ型鼻竇炎鼻息肉%內鏡手術%複查%療效
복발성Ⅲ형비두염비식육%내경수술%복사%료효
RecurrentⅢsinusitis and nasal polyps%Endoscopic operation%Follow-up
目的：研究鼻内镜下治疗复发性Ⅲ型慢性鼻—鼻窦炎鼻息肉的临床疗效。方法：收治177例复发性Ⅲ型慢性鼻—鼻窦炎鼻息肉患者，结合鼻窦CT和鼻内镜下情况，了解复发鼻腔鼻窦解剖变异的形态，进行规范性术前治疗、鼻内镜下Fess手术以及处理相关鼻腔、鼻中隔、鼻甲等解剖变异治病因素。术后规范用药治疗，合理进行鼻腔护理。术后跟踪复查处理半年~1年的情况。结果：随访0.5~1年，177例患者中175例治愈，2例好转，坚持2年跟踪复诊治愈，治愈率98.8%。结论：术前规范治疗，提高术者手术技巧，经鼻内镜下Fess手术及处理变异的鼻腔、鼻中隔、鼻甲等相关因素，术后处理和定期跟踪复查处理，复发性Ⅲ型慢性鼻—鼻窦炎鼻息肉效果满意，术前、术中、术后及跟踪复查处理决定治疗效果。
目的：研究鼻內鏡下治療複髮性Ⅲ型慢性鼻—鼻竇炎鼻息肉的臨床療效。方法：收治177例複髮性Ⅲ型慢性鼻—鼻竇炎鼻息肉患者，結閤鼻竇CT和鼻內鏡下情況，瞭解複髮鼻腔鼻竇解剖變異的形態，進行規範性術前治療、鼻內鏡下Fess手術以及處理相關鼻腔、鼻中隔、鼻甲等解剖變異治病因素。術後規範用藥治療，閤理進行鼻腔護理。術後跟蹤複查處理半年~1年的情況。結果：隨訪0.5~1年，177例患者中175例治愈，2例好轉，堅持2年跟蹤複診治愈，治愈率98.8%。結論：術前規範治療，提高術者手術技巧，經鼻內鏡下Fess手術及處理變異的鼻腔、鼻中隔、鼻甲等相關因素，術後處理和定期跟蹤複查處理，複髮性Ⅲ型慢性鼻—鼻竇炎鼻息肉效果滿意，術前、術中、術後及跟蹤複查處理決定治療效果。
목적：연구비내경하치료복발성Ⅲ형만성비—비두염비식육적림상료효。방법：수치177례복발성Ⅲ형만성비—비두염비식육환자，결합비두CT화비내경하정황，료해복발비강비두해부변이적형태，진행규범성술전치료、비내경하Fess수술이급처리상관비강、비중격、비갑등해부변이치병인소。술후규범용약치료，합리진행비강호리。술후근종복사처리반년~1년적정황。결과：수방0.5~1년，177례환자중175례치유，2례호전，견지2년근종복진치유，치유솔98.8%。결론：술전규범치료，제고술자수술기교，경비내경하Fess수술급처리변이적비강、비중격、비갑등상관인소，술후처리화정기근종복사처리，복발성Ⅲ형만성비—비두염비식육효과만의，술전、술중、술후급근종복사처리결정치료효과。
Objective To study the endoscopic treatment of recurrentⅢtype of chronic rhinosinusitis and nasal polyps clinical curative effect. Methods 177 hospitalized cases of recurrentⅢin patients with chronic rhinosinusitis,nasal sinus under nasal endoscope combined with CT and the situation,understand the recurrence of nasal anatomic variation of morphology,standard preoperative treatment,endoscopic FESS operation and processing of nasal cavity,nasal septum,nasal anatomic variation in the treatment factors,operation after the standard drug treatment,nasal cavity nursing,postoperative follow—up examinations and treatment of ~1 in the first half of year. Results during the 0. 5~1 years of follow—up,177 patients 175 were cured,2 cases improved,adhere to the 2 years tracjing were cured,the cure rate was 98. 8%. Conclusion Preoperative standard treatment,improve operation technique,variation of the endoscopic FESS operation and the treatment of nasal turbinate,nasal septum,and other related factors,postoperative treatment and regular follow—up examinations and treatment of recurrentⅢ,chronic sinusitis and nasal polyps is satisfactory,the preoperative,intraoperative,postoperative and follow—up the decision on review treat-ment effect.
