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目的 ⑴评价鼻内镜手术治疗慢性鼻窦炎和鼻息肉的疗效及影响手术疗效的相关因素。⑵探讨鼻内镜鼻窦手术后并发症的发生及预防措施。方法 回顾性分析 1993年 8月至 2 0 0 1年 6月间实施鼻内镜手术并完成术后随访的 180 0例慢性鼻窦炎、鼻息肉患者。结果 临床分型、分期Ⅰ～Ⅲ型分别为 171例 (9 5 % )、10 0 3 (5 5 7% )、62 6例 (3 4 8% ) ;治愈率分别为 91 2 %、71 1%、3 6 2 % ;总治愈率为 61 0 % ;手术并发症 96例 (5 3 % ) ,分别为纸板损伤 15例 (0 83 % )、大出血 16例 (0 89% )、鼻腔粘连 63例 (3 5 % )、一过性或短暂性失明 2例 (0 11% )。结论 鼻内镜鼻窦手术是治疗慢性鼻窦炎、鼻息肉的有效方法 ,手术疗效与其临床分型分期密切相关。熟悉和确认并发症的发生 ,对于提高疗效和预防并发症是重要的。
Objective (1) To evaluate the efficacy of endoscopic sinus surgery for chronic sinusitis and nasal polyps and the related factors that influence the curative effect of surgery. ⑵ explore the occurrence of complications after nasal endoscopic sinus surgery and preventive measures. Methods A retrospective analysis of 180 0 patients with chronic sinusitis and nasal polyps undergoing endoscopic sinus surgery and follow-up between August 1993 and June 2001 was performed. Results There were 171 cases (95%), 103 (57%) and 626 cases (34.8%) in the clinical stage Ⅰ ~ Ⅲ stage respectively. The cure rates were 91 2% and 71 1 %, 36.2% respectively; the total cure rate was 61.0%; 96 cases (53%) had surgical complications, including 15 cases of cardboard injury (0 83%), 16 cases of hemorrhage (0 89% Cases (35%), transient or transient blindness in 2 cases (0 11%). Conclusion Endoscopic sinus surgery is an effective method for the treatment of chronic sinusitis and nasal polyps. The curative effect is closely related to its clinical stage and classification. Familiar with and confirm the occurrence of complications, to improve the efficacy and prevention of complications is important.