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目的：全面评价内窥镜鼻窦手术疗效，分析影响该手术疗效的有关因素。方法：对能定期随访的１６２例患者进行了总结，随访时间６～３２个月。结果：治愈８１例，显效６９例，有效１１例，无效１例。１例无效为全组鼻窦炎鼻息肉伴变应性鼻炎。有效１１例中，影响疗效的原因为：２例为前组筛窦病变清除不彻底，２例为上颌窦自然开口扩大不够，２例为再次闭锁，２例为后组筛窦病变清除不彻底，２例为粘连。结论：熟悉和识别解剖结构和标志是开展此项手术的前提，术后定期内窥镜检查是提高手术疗效的保证，对伴有变应性鼻炎者应进行长期随访和综合治疗。
Objective: To evaluate the curative effect of endoscopic sinus surgery comprehensively and analyze the relevant factors that affect the curative effect of this operation. METHODS: A total of 162 patients with regular follow-up were reviewed, with a follow-up of 6 to 32 months. Results: 81 cases were cured, markedly effective in 69 cases, effective in 11 cases and ineffective in 1 case. One case was invalid for the whole group of sinusitis and nasal polyps with allergic rhinitis. Effective in 11 cases, the effect of the reasons are: 2 cases of the former group of ethmoid sinus lesions are not completely removed, 2 cases of maxillary sinus natural opening is not enough to expand, 2 cases of re-locking, 2 cases of posterior group ethmoid sinus lesions are not completely removed , 2 cases of adhesions. Conclusion: Familiar with and identification of anatomical structures and signs is the prerequisite for this operation. Regular postoperative endoscopy is the guarantee to improve the curative effect. Long-term follow-up and comprehensive treatment of patients with allergic rhinitis should be carried out.