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鼻窦炎是患有原发性免疫缺陷病儿童的常见且经久不愈的疾患。作者对11例各型原发性免疫缺陷病并有慢性鼻窦炎的病人评价了内窥镜鼻窦手术的效果。11例发病时间平均为4.2年。在多数病人起病时有分泌性中耳炎病史,持续流脓涕。10例行鼓膜切开,并放置中耳通气管。多数病人作过治疗,但无效。根据病人的症状及CT扫描鼻窦病变的程度决定是否行内窥镜鼻窦手术。手术在全麻下进行,只切除病变组织,保留中鼻甲。通常经中鼻道行前组
Sinusitis is a common and prolonged condition in children with idiopathic immunodeficiency disease. The authors evaluated the efficacy of endoscopic sinus surgery in 11 patients with various forms of primary immunodeficiency disease and chronic sinusitis. The average onset time in 11 cases was 4.2 years. Occurred in the majority of patients with a history of secretory otitis media, continuous flow purulent tears. 10 cases of tympanotomy, and placed the middle ear ventilation tube. Most patients have been treated, but not effective. According to the patient’s symptoms and CT scan the degree of sinus lesions to determine whether endoscopic sinus surgery. Surgery under general anesthesia, only remove the diseased tissue, retaining the middle turbinate. Usually through the nasal line before the group