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鼻窦内窥镜手术(ESS)越来越受关注。分析50例一次或多次鼻窦手术失败者的再修正的ESS。13～76岁,平均41岁,包括慢性鼻窦炎、复发性鼻窦炎、过 敏症、息肉及哮喘。均曾接受传统的鼻外及鼻内手术与ESS,其中26例为Caldwell-Luc术;19例经上颌窦、鼻内或ESS筛窦开放术。41例为两侧全鼻窦炎,余者病变较轻。术后失败观察时间为1月至2年,大部分不到1年,其中2例并发脑脊液漏。50例均经内窥镜及CT检查确定其病变区,仅对该部位行ESS再修正术。结果仍有10例失败,其中3例息肉复发;1例虽无再感染,
Endoscopic sinus surgery (ESS) is receiving increasing attention. Analysis of 50 patients with one or more failed sinus surgery and ESS. 13 to 76 years old, average 41 years old, including chronic sinusitis, recurrent sinusitis, allergies, polyps and asthma. Both received conventional nasal and intranasal surgery and ESS, of which 26 were Caldwell-Luc; 19 were maxillary sinus, intranasal or ESS ethmoid sinus surgery. 41 cases of bilateral sinusitis, lesser lesions. Postoperative failure to observe the time from January to 2 years, most less than 1 year, of which 2 cases of cerebrospinal fluid leakage. 50 cases were confirmed by endoscopy and CT examination of the lesion, only the site line ESS re-correction. Results still failed in 10 cases, of which 3 cases of polyps recurrence; 1 case no further infection,