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目的观察鼻内镜手术治疗放射性鼻窦炎的效果。方法采用鼻内镜下手术治疗鼻咽癌放射治疗后鼻窦炎患者19例,其中有11例上颌窦自然口通畅良好者采用下鼻道开窗术,窦口鼻道复合体阻塞8例采用自然口扩大术,术后6个月评估治疗效果。结果术后6个月评定疗效,痊愈10例(52.6%),有效8例(42.1%),无效1例(5.3%),近期有效率为94.7%。下鼻道开窗11例中,痊愈7例(63.6%),有效4例(36.4%),近期有效率为100%。上颌窦口扩大术8例中,痊愈3例(37.5%),有效4例(50.0%),无效1例(12.5%)。结论鼻内镜手术是鼻咽癌放射治疗后鼻窦炎药物保守治疗失败后的另一种安全、有效的方法。
Objective To observe the effect of endoscopic sinus surgery for treatment of radiation sinusitis. Methods Nineteen patients with nasosinusitis after nasal endoscopic surgery were treated with endoscopic sinus surgery. Among them, 11 cases of maxillary sinus with natural good oral cavity were opened with inferior fenestration and 8 cases with obstruction of ostiomeatal and nasal complex. Oral expansion surgery, 6 months after the assessment of treatment. Results The curative effect was evaluated 6 months after operation, 10 cases (52.6%) were cured, 8 cases (42.1%) were effective, 1 case (5.3%) ineffective, and the effective rate was 94.7%. In the 11 cases of inferior fenestration, 7 cases (63.6%) were cured, 4 cases (36.4%) were effective, and the most recent effective rate was 100%. Three cases (37.5%) were cured, 8 cases were effective (50.0%), and 1 case (12.5%) was ineffective. Conclusion Nasal endoscopic surgery is another safe and effective method after conservative treatment of sinusitis after radiotherapy of nasopharyngeal carcinoma.