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目的:分析鼻息肉、慢性鼻窦炎经鼻内镜手术后影响疗效的因素,并探讨其预防措施。 方法:对因鼻息肉、慢性鼻窦炎接受鼻内镜手术、随访3年以上的226例患者从职业、个人生活习 惯、术后是否坚持系统的康复治疗及持续时间、临床转归等方面进行回顾性分析。结果:从事接触 刺激性物质或粉尘的职业(化工、纺织、建筑、装饰、锅炉和厨师等)、具有不良生活习惯(喜食辛辣 食物、嗜烟酒)、术后(尤其是出院后)根本不曾或不能坚持进行系统康复治疗(包括局部用药、全 身用药、鼻腔冲洗、定期鼻内镜下清理术腔等)的患者与不具有前述“特质”的患者鼻息肉、鼻窦炎 复发的可能性明显居高、复发时间亦明显提前;具备前述“特质”类别愈多,复发愈快、愈剧。其中 尤以系统康复治疗对术后转归影响最显著。结论:术后定期、足够疗程的系统康复治疗是提高鼻 息肉、慢性鼻窦炎经鼻内镜手术疗效的有力措施,良好的职业保护和戒除不良生活习惯能有效地 预防和减缓鼻息肉、慢性鼻窦炎经鼻内镜手术后的复发。
Objective: To analyze the factors influencing curative effect of nasal polyps and chronic sinusitis after endoscopic sinus surgery and to explore the preventive measures. Methods: 226 patients who underwent endoscopic sinus surgery for nasal polyps and chronic sinusitis were followed up for more than 3 years from occupational and personal habits, postoperative follow-up of systematic rehabilitation and duration, and clinical outcomes Sexual analysis. Results: Occupations (chemical, textile, construction, decoration, boilers and chefs, etc.) exposed to irritating substances or dust, with bad habits (eating spicy foods, alcohol and tobacco), postoperative (especially after discharge) Nasal polyps and sinusitis recurrence may or may not be persisted in patients with systemic rehabilitation therapy (topical, systemic, nasal irrigation, regular endoscopic endoscopic surgery, etc.) and patients without such “traits” Sex was significantly higher, the recurrence time was significantly advanced; with the aforementioned “traits ” category more, the relapse faster, more drama. Among them, systematic rehabilitation treatment has the most significant effect on postoperative outcomes. Conclusions: The regular and sufficient course of systemic rehabilitation therapy is a powerful measure to improve the effectiveness of nasal polyps and chronic rhinosinusitis through endoscopic surgery. Good occupational protection and abstinence from bad habits can effectively prevent and alleviate nasal polyps, chronic sinusitis Inflammation after endoscopic sinus surgery recurrence.