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目的探讨鼻内镜下手术治疗慢性鼻窦炎、鼻息肉的疗效。方法回顾性分析2004年1月至2007年10月间实施鼻内镜手术并完成术后随访的120例慢性鼻窦炎、鼻息肉患者的临床资料,其中I型占35.0%,II型占49.2%,Ⅲ型占15.8%;118例在局部麻醉+静脉强化麻醉下完成,2例在全身麻醉下完成;手术采用Messenklinger术式,术后随访3～15个月。结果总治愈率为74.2%,其中I型治愈率为88.1%,Ⅱ型治愈率为71.2%,Ⅲ型治愈率为52.6%,三型之间治愈率有显著性差异(P<0.05);手术并发症8例,发生率6.7%。结论经鼻内镜鼻窦手术是治疗慢性鼻窦炎、鼻息肉的有效方法,手术疗效与临床分型及术后治疗密切相关。
Objective To investigate the effect of endoscopic sinus surgery for chronic sinusitis and nasal polyps. Methods The clinical data of 120 patients with chronic sinusitis and nasal polyps who underwent endoscopic sinus surgery and were followed up from January 2004 to October 2007 were retrospectively analyzed. Among them, 35.0% were type I, 49.2% were type II, , Type III accounted for 15.8%; 118 cases completed under local anesthesia + intravenous anesthesia, 2 cases completed under general anesthesia; surgery using Messenklinger operation, followed up for 3 to 15 months. Results The total cure rate was 74.2%, the cure rate of type I was 88.1%, the cure rate of type II was 71.2%, the cure rate of type III was 52.6%, the cure rate of three types was significant difference (P <0.05) Complications in 8 cases, the incidence of 6.7%. Conclusion Endoscopic sinus surgery is an effective method for the treatment of chronic sinusitis and nasal polyps. The curative effect is closely related to clinical classification and postoperative treatment.