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目的 :观察内窥镜鼻窦手术治疗鼻窦炎、鼻息肉的远期疗效。方法 :对 16 5例 (2 76侧 )慢性鼻窦炎鼻息肉患者行内窥镜鼻窦手术 ,术后随访 1年。结果 :治愈 10 7例 (6 4 .8% ) ,好转 4 3例 (2 6 .1% ) ,无效 15例(9.1% ) ,总有效率 90 .9%。术后并发症主要为鼻腔粘连。结论 :鼻内窥镜鼻窦手术治疗鼻窦炎、鼻息肉具有良好的疗效 ,术中采用合适浓度的肾上腺素液能达到很好的止血效果 ,术中中鼻甲的正确处理、术后定期随访能提高治愈率 ,减少并发症
Objective: To observe the long-term efficacy of endoscopic sinus surgery in the treatment of sinusitis and nasal polyps. Methods: Endoscopic sinus surgery was performed in 165 patients (276 sides) with chronic sinusitis and nasal polyps. The patients were followed up for 1 year. Results: 10 7 cases (64.4%) were cured, 43 cases improved (26.1%), 15 cases were ineffective (9.1%), and the total effective rate was 90.9%. Postoperative complications mainly nasal adhesions. Conclusion: Nasal endoscopic sinus surgery for sinusitis, nasal polyps has a good effect, intraoperative use of appropriate concentrations of epinephrine can achieve good hemostatic effect, intraoperative treatment of middle turbinate, regular follow-up can be increased Cure rate, reduce complications