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目的观察评价107例(185侧)复发性鼻息肉、鼻窦炎行鼻内镜手术疗效。方法在鼻内镜下行全麻或局麻手术,其中:单纯钩突切除术+上颌窦开放术11侧,钩突切除+前中筛房开放术78侧,钩突切除+全筛切除术36侧,钩突切除+全筛切除+中鼻甲成形术41侧。蝶窦开放术19侧。结果随访6个月～1年,治愈率78%(144侧),好转率13%(24侧),无效率9%(17侧)。结论鼻内镜手术治疗复发性鼻息肉,复发率低,疗效确切。
Objective To observe and evaluate the efficacy of endoscopic sinus surgery in 107 cases (185 sides) of recurrent nasal polyps and sinusitis. Methods Under endoscopic sinus surgery under general anesthesia or local anesthesia, among them: simple uncinatectomy + maxillary sinus open 11, uncinate process + front screen open 78, uncinate + 36 Side, hook removal + full mesh removal + middle turbinate angioplasty 41 side. Sphenoid sinus surgery 19 side. Results The follow-up ranged from 6 months to 1 year. The cure rate was 78% (144 sides), the improvement rate was 13% (24 sides), and the inefficiency rate was 9% (17 sides). Conclusion Endoscopic sinus surgery for recurrent nasal polyps, the recurrence rate is low, the exact effect.