摘要
目的探讨慢性鼻窦炎鼻内镜术后复发的原因及影响修正性鼻内镜手术疗效的相关因素。方法对5例复发性鼻窦炎鼻息肉患者行修正性鼻内镜手术。结果术后随访6个月以上,治愈34例(63.0%),好转14例(25.9%),总有效率88.9%;无效6例(11.1%)。术后出现轻度眶周血肿1例,无术中大出血、脑脊液鼻漏及鼻泪管损伤等并发症发生。结论充分合理的围手术期处理、熟悉鼻腔重要安全标志及掌握熟练的鼻内镜手术操作技巧是提高修正性鼻内镜手术疗效的关键。
OBJECTIVE To study the causes of recurrent sinusitis and polyps after endoscopic sinus surgery and discuss the relative factors to affect the outcome of revision endoscopic sinus surgery. METHODS Revision endoscopic sinus surgery were performed on 54 cases with recurrent sinusitis and polyps by using the Messerklinger technique and Stryker debrider. RESULTS Follow-up for more than 6 months, 34 cases were cured （63.0 %） and 14 improved （25.9 %） with the total effective rate of 88.9%. The other 6 cases were ineffective （11.1%）. Among 54 cases, orbital hematoma occurred in 1 patient after operation, but no cerebrospinal fistula and other serious complication occurred. CONCLUSION Sufficient and appropriate perioperative treatment, being familiar with the important anatomic structures and mastering excellent endoscopic surgical skill are the keys to improve the effective rate of revision endoscopic sinus surgery.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2007年第9期539-541,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
