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为了评价鼻内窥镜鼻窦手术的疗效。对156例(284侧)鼻窦炎、鼻息肉患者行内窥镜鼻窦手术,其中男103例,女53例,年龄15~65岁。计功能性鼻内窥镜手术65例(122侧),全筛窦开放术39例(69侧),全蝶筛窦开放术45例(86侧),上颌窦囊肿摘除术7例(7侧)。术后随访3月~12月,观察手术疗效。结果:鼻塞完全消失者135例(135/138),头痛缓解者99例(99/110),脓涕完全消失者138例(138/149),嗅觉部分恢复者48例(48/69)。术后鼻内窥镜检查属一期治愈者102例(65.4%),延期治愈者30例(19.2%),好转者15例(9.6%),无变化者9例(5.8%),总有效率为94.2%。并发症3例(1.9%为大出血)。本文结果提示:鼻内窥镜鼻窦手术疗效肯定,值得推广。
In order to evaluate the efficacy of endoscopic sinus surgery. 156 cases (284 sides) of sinusitis, nasal polyps patients underwent endoscopic sinus surgery, including 103 males and 53 females, aged 15 to 65 years. Sixty-five patients (122 sides) underwent functional endoscopic sinus surgery, 39 cases (69 sides) of full ethmoid sinus surgery, 45 cases (86 sides) of full-biodistribution sinus surgery, and 7 cases of maxillary sinus cyst excision ). Follow-up 3 months to 12 months after surgery to observe the effect. Results: 135 cases (135/138) with complete disappearance of nasal obstruction, 99 cases (99/110) with headache reliever, 138 cases (138/149) with complete disappearance of purulent nasal discharge and 48 cases (48/69) with partially recovered olfaction. Postoperative nasal endoscopy was cured in 102 cases (65.4%), delayed cure in 30 cases (19.2%), improved in 15 cases (9.6%), no change in 9 cases ( 5.8%), the total effective rate was 94.2%. Complications in 3 cases (1.9% for bleeding). The results suggest that: endoscopic sinus surgery sure effect, it is worth promoting.