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目的 :探讨功能性鼻窦内窥镜手术治疗儿童慢性鼻窦炎的疗效及有关影响因素。方法 :对 1996年 5月～ 1999年 1月接受功能性鼻窦内窥镜手术并完成随访 1年以上、有完整病历记录的儿童慢性鼻窦炎和鼻息肉患者 31例进行回顾性分析。结果 :按照 FESS- 97海口疗效评定标准 ,31例中治愈 12例 (38.7% ) ,好转 15例(4 8.4% ) ,无效 4例 (12 .9% ) ,总有效率为 87.1% ,均无严重并发症发生。结论 :经鼻内窥镜手术是治疗儿童慢性鼻窦炎、鼻息肉的有效方法 ,术后仔细换药和综合治疗是提高治愈率的重要步骤。
Objective: To investigate the efficacy and related factors of functional sinus surgery in children with chronic sinusitis. Methods: A retrospective analysis was performed on 31 cases of children with chronic sinusitis and nasal polyps undergoing functional endoscopic sinus surgery from January 1996 to January 1999 and with a follow-up of more than 1 year. Results: According to the results of FESS-97 Haikou evaluation, 12 cases (38.7%) were cured, 15 cases (4 8.4%) were cured, 4 cases (12.9%) were ineffective and the total effective rate was 87.1% Serious complications occur. Conclusion: Endoscopic sinus surgery is an effective treatment for chronic sinusitis and nasal polyps in children. Careful dressing change and comprehensive treatment are important steps to improve the cure rate.