摘要
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。
To evaluate curative effect of endoscopic sinus surgery. One hundred fifty-six patients (284 sides) with sinusitis and polyps were received endoscopic sinus surgery. In this series, 103 males and 53 females were included, of which, 65 (122 sides) were treated with functional ethmoidectomy, 39 (69 sides ) with total ethmoidectomy, 45 (86 sides) with sphenoethmoidectomy and 7 (7 sides) with maxillary sinus surgery. All patints were followed up for 3 to 12 months. Nasal obstruction disappeared completely in 135 cases (135/138), headache remitted in 99 cases (99/110), 138 case (138/140) were free from purulent nasal discharge, smell recovered in 48 cases (48/69); and healed by first inten tion in 65. 4% of patients and by second intention in 19. 2%, 9. 6% were improved, 5. 8% were unchanged or worse:and the effective rate was 94. 2%. The blood loss was more than 300ml in 3 (1. 9 % ) patients. The curative effect of ESS was successful.
出处
《上海医学》
CAS
CSCD
北大核心
1997年第1期17-18,共2页
Shanghai Medical Journal
