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目的总结鼻内镜手术对阿司匹林耐受不良三联征(AIT)的临床疗效,探讨影响手术疗效的相关因素。方法对51例阿司匹林耐受不良三联征(AIT)患者行鼻内镜手术治疗,进行围手术期观察处理,对手术疗效进行观察对比。结果 AIT患者鼻内镜手术治愈率82.79%,总有效率90.71%;所有患者治疗后治疗效果明显。结论采用合理有效的围手术期序贯用药,术前术后控制哮喘,手术中鼻腔鼻窦整体塑形和轮廓化处理,定期的术后随诊、术腔清理及合理用药等规范化综合诊疗是提高AIT手术疗效的关键因素。
Objective To summarize the clinical efficacy of endoscopic sinus surgery in patients with asymptomatic triad of Aspirin (AIT) and to explore the relevant factors that influence the efficacy of surgery. Methods 51 cases of patients with AIT were treated with endoscopic sinus surgery. Perioperative observation and treatment were performed. The curative effect was observed and compared. Results The cure rate of endoscopic sinus surgery in AIT patients was 82.79%, and the total effective rate was 90.71%. The treatment effect was obvious in all patients after treatment. Conclusion The rational and effective perioperative sequential medication, preoperative and postoperative control of asthma, intraoperative nasal salvage plastic surgery and contouring, regular postoperative follow-up, surgical clearance and rational use of drugs such as standardized comprehensive treatment is to improve AIT surgery the key factor.