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目的 :观察经鼻内窥镜手术的疗效。方法 :总结 1998年至 1999年 80例经鼻内窥镜手术病人 ,其中 :慢性副鼻窦炎Ⅰ型Ⅰ期 11例 ,Ⅰ型Ⅱ期 2 5例 ;Ⅱ型Ⅱ期 3 7例 ,Ⅱ型Ⅲ期 2例 ;Ⅲ型 2例。结果 :参照 1997年《海口标准》 ,治愈 63例 ,占 78 7% (63 / 80 ) ;好转 12例 ,占 15 % (12 / 80 ) ;无效 5例 ,占 6% (5 / 80 )。结论 :经鼻内窥镜鼻窦手术治疗鼻窦炎、鼻息肉疗效肯定 ,术后复发率低。对Ⅱ、Ⅲ型病人应切除筛顶粘膜以防止息肉复发。
Objective: To observe the effect of endoscopic sinus surgery. Methods: From 1998 to 1999, 80 cases of patients undergoing endoscopic nasal surgery were enrolled. Among them, 11 cases were type Ⅰ and Ⅰ, 25 cases were type Ⅰ and Ⅱ, 37 cases were type Ⅱ and Ⅲ, 2 cases; Ⅲ type in 2 cases. Results: According to the “Haikou Standard” in 1997, 63 cases were cured, accounting for 78.7% (63/80); 12 cases were improved, accounting for 15% (12/80); 5 cases were ineffective, accounting for 6% (5/80). Conclusion: Nasal endoscopic sinus surgery for sinusitis, nasal polyps efficacy is positive, postoperative recurrence rate is low. Ⅱ, Ⅲ type of patients should be removed top of the mucous membrane to prevent the recurrence of polyps.