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目的 :探讨窦口鼻道复合体 (Ostiomeatal complex,OMC)解剖变异与鼻窦炎的关系 ,功能性内窥镜鼻窦手术 (EFSS)的适应证、并发症及其疗效。方法 :回顾性分析 FESS病例 1 1 3例。结果 :治愈率 63.7% ,有效率 80 .5%。并发症发生率 1 3.3% ,息肉复发率为 38.96% ,且均为多发性息肉。结论 :OMC的解剖变异 ,特别是中鼻甲、钩突和筛泡病变与感染性鼻窦炎发生、发展密切相关 ;FESS最适合于感染性鼻窦炎和 OMC解剖异常的病例 ,FESS不能根本解决多发性鼻息肉病的复发问题。疗效及并发症与鼻窦及 OMC的解剖、术前CT检查及术中内窥镜检查所见、鼻窦炎所处的临床阶段以及医生对手术的熟练程度等因素密切相关。
Objective: To investigate the relationship between anatomical variation of Ostiomeatal complex (OMC) and sinusitis, indications and complications of functional endoscopic sinus surgery (EFSS) and its curative effect. Methods: A retrospective analysis of 113 cases of FESS cases. Results: The cure rate was 63.7% and the effective rate was 80.5%. Complication rate of 3.3%, polyp recurrence rate was 38.96%, and are polyps. CONCLUSION: Anatomic variation of OMC, especially middle turbinate, uncinate process and mesangial disease, is closely related to the occurrence and development of infectious sinusitis. FESS is most suitable for the cases of infectious sinusitis and OMC anatomy. FESS can not fundamentally solve the multiple Recurrence of nasal polyposis. Efficacy and complications and sinus and OMC anatomy, preoperative CT examination and intraoperative endoscopy found that sinusitis in the clinical stage and the doctor’s degree of proficiency in surgery and other factors are closely related.