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目的:观察鼻内镜鼻窦手术治疗鼻窦炎、鼻息肉的远期疗效。方法:对378例(640侧)慢性鼻窦炎鼻息肉患者行鼻内镜鼻窦手术,术后随访1 a。结果:治愈278例(73.5%),好转78例(20.6%),无效22例(5.9%),总有效率94.1%。术后并发症主要为鼻腔粘连。结论:鼻内镜鼻窦手术治疗鼻窦炎、鼻息肉具有良好的疗效,手术操作熟练准确,彻底清除病变是手术成功的重要保证,术后定期随访能提高治愈率,减少并发症。
Objective: To observe the long-term effect of nasal endoscopic sinus surgery in the treatment of sinusitis and nasal polyps. Methods: 378 patients (640 sides) with chronic sinusitis and nasal polyps underwent endoscopic sinus surgery, followed up for 1 year. Results: 278 cases (73.5%) were cured, 78 cases (20.6%) were improved, 22 cases (5.9%) were ineffective, and the total effective rate was 94.1%. Postoperative complications mainly nasal adhesions. Conclusion: Nasal endoscopic sinus surgery for sinusitis and nasal polyps has good curative effect. Skilled operation is accurate and accurate. Complete removal of the lesion is an important guarantee for successful operation. Regular follow-up after operation can improve the cure rate and reduce the complications.