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本文报道自1969年起14年间对205例哮喘、鼻息肉、鼻窦炎及阿司匹林特应性综合征,需依赖类固醇解除喘息的患者施行鼻息肉切除和鼻窦手术的疗效分析。大多数患者均为成人(91%),少数为11岁以上的青少年(8.8%);男性100,女性105。每个病人都作了变态反应、心肺、耳鼻咽喉、免疫学、放射学、生化及内分泌方面的检查,检查符合本病的患者,方列为本文的治疗对象。全部患者均不同程度地需依赖类固醇以解除喘息。手术原则:手术仅是针对鼻息肉和鼻窦炎;哮喘殆非手术适应症,有时尚属禁忌症。鼻腔和鼻窦病变组织应去除,较重的鼻窦疾病应尽早治疗,术前需控制哮喘,宜使用手术显微镜。最常用的手术是鼻息肉切除术,共施行199次,其次是息肉切除加筛窦切除
This article reports the efficacy of nasal polyps resection and sinus surgery in 205 patients with asthma, nasal polyps, sinusitis, and aspirin-atopic syndrome over a 14-year period from 1969, requiring steroid-resistant wheeze relief. The majority of patients were adults (91%) and the minority were adolescents (8.8%) over 11 years of age; males 100 and females 105. Each patient has made allergic reactions, cardiopulmonary, otolaryngology, immunology, radiology, biochemistry and endocrine aspects of the examination, check the patients in line with this disease, side as the treatment of this article. All patients have varying degrees of dependence on steroids to relieve wheezing. Surgical principles: Surgery is only for nasal polyps and sinusitis; asthma is almost non-surgical indications, there are sometimes contraindications. Nasal and sinus lesions should be removed, severe sinus disease should be treated as soon as possible, preoperative control of asthma, surgery microscope should be used. The most common procedure is nasal polypectomy, a total of 199 times, followed by polyp resection plus ethmoidal resection