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目的：探讨药物和手术治疗儿童慢性鼻-鼻窦炎的临床疗效。方法选取2012年6月~2014年6月在我院接受治疗的慢性鼻-鼻窦炎儿童患者80例,分为药物组与手术组,每组40例。药物组患者的主要治疗方案为糠酸莫米松鼻喷雾剂+碱性盐水鼻腔冲洗剂+克拉霉素；手术组患者主要行腺样体切除手术或扁桃体加腺样体切除手术,对比两组患者的治疗效果。结果治疗后,患者的VAS与鼻内镜评分均显著下降,1个月时药物组患者的VAS评分与鼻内镜评分高于手术组(0.05)。结论手术治疗与药物治疗对儿童慢性鼻-鼻窦炎均有较好的治疗效果,患者可先接受药物治疗,若药物无法控制病症,选择手术治疗亦可。“,”Objective To study clinical curative ef ect of drugs and surgery on children chronic nose - sinusitis. Methods From June 2012 to June 2012, 80 cases patients with chronic nasal -sinusitis in children were treated in our hospital, and divided into the drug group and surgery group, 40 cases in each group. Drug group adopt furoic acid betamethasone nasal spray +alkaline saline nasal then+clarithromycin to treat;The surgical patients with main line of adenoidectomy surgery or tonsil adenoidectomy, comparing treatment ef ect of two groups. Results After treatment, the VAS scores and nasal endoscopic scores were al significantly decreased, After one month treatment, the VAS score and nasal endoscopic score of drug group patients were higher than the surgery group ( <0.05). Conclusion The surgical treatment and drug therapy have a good treatment ef ect for children with chronic nasal sinusitis, patients should be treated with medications, choosing surgery treatment if the drug can not control condition.