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目的探讨鼻窦炎鼻息肉的有效手术方法和术后处理措施。方法对86例慢性鼻窦炎鼻息肉患者行内窥镜鼻窦手术和相应术后处理,观察患者术后临床症状改善情况,如鼻塞、头痛、鼻腔分泌物、嗅觉等,内镜观察术腔上皮化情况及是否有病变组织存在,根据疗效评定标准判定疗效并行6～18个月随访。结果本组治愈75例(87.2%),好转8例(9.3%),无效3例(3.5%),总有效率96.5%。除了3例术中出血,3例并发鼻腔粘连外未发生其他严重并发症。结论鼻内镜手术具有直视、准确、彻底、安全等特点,是治疗慢性鼻窦炎、鼻息肉的有效方法。全面准确的术前检查和正确选择内窥镜鼻窦手术术式是保证手术成功的关键,围手术期合理使用抗生素、脱敏药物,可促进术后伤口的愈合、有效减少术后复发,提高手术的治愈率。
Objective To investigate the effective surgical methods and postoperative management of sinusitis and nasal polyps. Methods Eighty-six patients with chronic sinusitis and nasal polyps underwent endoscopic sinus surgery and corresponding postoperative management. The clinical symptoms, such as nasal obstruction, headache, nasal secretions and olfaction, were observed. The epithelialization of the cavity was observed by endoscopy And whether there is diseased tissue, according to the curative effect evaluation criteria to determine the efficacy of 6 to 18 months of follow-up. Results The group was cured in 75 cases (87.2%), improvement in 8 cases (9.3%), 3 cases (3.5%), the total effective rate was 96.5%. In addition to 3 cases of intraoperative bleeding, 3 cases of nasal adhesions without other serious complications. Conclusion Endoscopic sinus surgery with direct vision, accurate, thorough and safe, is an effective method for the treatment of chronic sinusitis and nasal polyps. Comprehensive and accurate preoperative examination and correct choice of endoscopic sinus surgery is to ensure the success of surgery, rational use of perioperative antibiotics, desensitization drugs, can promote postoperative wound healing, reduce postoperative recurrence and improve surgery The cure rate.