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目的 探讨鼻内镜鼻窦手术治疗青少年慢性鼻窦炎的适应证、并发症及手术疗效。方法 本组 43例 (78侧 )全部采用Messerkling’s术式 ,视病变范围 ,鼻腔解剖变异情况切除钩突 ,摘除息肉。扩大上颌窦自然开口 ,开放筛窦 ,酌情开放额窦。同期处理相关病变。结果 43例病人总的治愈率为 86 .0 5 % ,好转率为 9.3% ,无效为 4.6 5 % ,同期成人鼻窦炎鼻内镜手术治愈率为 5 9.2 6 % ,两者相比差异具有非常显著性 (P <0 .0 1) ,术后并发症主要是术腔粘连。结论 鼻内镜鼻窦手术治疗青少年慢性鼻窦炎是目前较为理想的治疗方法
Objective To investigate the indications, complications and surgical outcomes of nasal endoscopic sinus surgery for adolescent chronic sinusitis. Methods The group of 43 cases (78 sides) all using Messerkling’s surgery, depending on the extent of the lesion, nasal anatomical variation of removal of the uncinate process, removal of polyps. Expand the maxillary sinus natural opening, open ethmoid sinus, as appropriate, open the frontal sinus. The same period dealing with related diseases. Results The total cure rate of 43 patients was 86.0%, the improvement rate was 9.3% and the inefficiency was 4.6%. The cure rate of endoscopic sinus surgery for adult sinusitis in the same period was 5 9.26% Significance (P <0 01), postoperative complications mainly intra-operative adhesions. Conclusion Nasal endoscopic sinus surgery for adolescent chronic sinusitis is the ideal treatment