摘要
目的探讨儿童鼻窦炎鼻息肉患者的治疗方式与疗效。方法对175例(288侧)儿童鼻窦炎鼻息肉患者的临床资料进行分析。年龄5～17岁,男女比例124:51。其中合并鼻中隔偏曲68例(38.86%),合并鼻窦囊肿16例(9.14%),合并腺样体肥大17例(9.71%)。鼻窦炎并发眶内并发症4例,并发面部蜂窝织炎1例,并发球后视神经炎2例。有哮喘病史者21例(12%),伴有变应性鼻炎症状者62例(35.43%)。173例行鼻内镜手术治疗及系统的术后6～12个月复查随访。结果治愈103例(58.86%),好转54例(30.86%),总有效率89.71%,无效18例(10.29%)。结论儿童鼻窦炎鼻息肉经系统保守治疗无效,应采用手术疗法,手术方式应根据患者的年龄、病变范围及合并症情况综合考虑,以改善鼻腔鼻窦通气引流功能为目的。术中应建立宽敞的术腔入路以利于术后换药及避免术腔粘连。
OBJECTIVE To explore the management and its curative effect on chronic sinusitis and nasal polyps in children. METHODS The clinical data of 175 children （288 sides） with chronic sinusitis and nasal polyps were analyzed. There were 124 boys and 51 girls with the age ranged from 5 to 17 years old.There were 68 cases with deviation of nasal septum（38.86 %）, 16 cases with sinus cyst （9.14 %）, 17 cases with adenoidal hypertrophy （9.71%）, 22 cases with asthma （12 %）, and 62 cases with allergic rhinitis. The complications of the chronic sinusitis were orbital inflammation in 4 cases, facial inflammation in 1 case,and optical neuropathy in 2 cases. 173 cases underwent nasal endoscopic sinus surgery. RESULTS There were 103 cases （58.86 %） cured,54 cases（30.86 %）improved, and 18 cases without improvement.CONCLUSION Children with sinusitis and nasal polyps should adopt surgery if no effect after conservative therapy. The purpose of the operation is to improve nasal ventilation and drainage. The age of the children, the extent of the lesion, and the complications should be considered when a proper operation method was decided.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2005年第7期421-423,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
