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作者观察了230例息肉性鼻窦炎。55例为息肉卡他性,175例为息肉化脓性;16例为单纯筛窦炎,137例为上颌窦筛窦炎,21例为上颌窦、额筛窦炎,56例为全组鼻窦炎;病程3年以下的36例,3~5年的52例,5~10年的45例,10年以上的97例;181例既往曾接受过息肉切除、鼻甲切除,筛窦开放、上颌窦根治等手术;40例复发4次以上。所有病人均经鼻镜、X线、造影、诊断性穿刺或灌洗等检查。所采用的姑息治疗包括:(1)消除任何影响鼻窦正常通气引流的因素;采用不损害自然开口组织的姑息性手术摘除息肉,恃别是中鼻道内的息肉;矫治鼻甲和鼻中隔的畸形,作者认为80%
The authors observed 230 cases of polyposis sinusitis. 55 cases of polyps were catarrhal, 175 cases of polyposis purulent; 16 cases of simple ethmoid sinusitis, 137 cases of maxillary sinus ethmoid sinus, 21 cases of maxillary sinus, frontal ethmoid sinusitis, 56 cases of the whole group of sinusitis ; 36 cases of disease duration of less than 3 years, 52 cases of 3 to 5 years, 45 cases of 5 to 10 years, 97 cases of more than 10 years; 181 cases of past polypus resection, turbinate resection, ethmoid sinus, maxillary sinus Radical surgery; 40 cases of recurrence more than 4 times. All patients were examined by nose, X-ray, radiography, diagnostic puncture or lavage. Palliative treatment used include: (1) to eliminate any factors that affect the normal ventilation and drainage of the sinus; the use of palliative surgery without damaging the natural opening of tissue removal of polyps, do not belong to the polyps in the middle nasal passages; correction of turbinate and nasal septum deformity, the author Think 80%