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目的 :探讨提高慢性鼻窦炎疗效的方法。方法 :对 10 4例伴有上颌窦病变的慢性鼻窦炎患者行鼻内窥镜和柯 -陆手术联合进路鼻窦手术 ,彻底清除病变。结果 :术后随访 6～ 12个月 (平均 9个月 ) ,治愈 85例(81.7% ) ,好转 15例 (14.4% ) ,无效 4例 (3.8% ) ,总有效率 96 .1%。结论 :该方法可彻底清除上颌窦病变 ,恢复上颌窦的生理性引流通道 ,防止复发 ,弥补了经鼻内窥镜鼻窦手术在处理上颌窦病变时的局限性。
Objective: To explore ways to improve the curative effect of chronic sinusitis. Methods: 104 cases of patients with chronic sinusitis accompanied by maxillary sinus diseases underwent nasal endoscopy and coke - land surgery combined with sinus surgery to completely remove the lesions. Results: All the patients were followed up for 6 to 12 months (average 9 months). 85 cases (81.7%) were cured, 15 cases (14.4%) were cured and 4 cases (3.8%) were ineffective. The total effective rate was 96.1%. Conclusion: This method can completely remove maxillary sinus lesions and restore the physiological drainage channels of the maxillary sinus to prevent the recurrence. This method can make up for the limitations of nasal endoscopic sinus surgery in the treatment of maxillary sinus diseases.