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目的 :探讨提高鼻内窥镜手术疗效的方法。方法 :对 4 0例慢性鼻窦炎鼻息肉患者行经鼻内窥镜手术。结果 :4 0例中随访半年以上者 34例 ,治愈 2 5例 (73.5 % ) ,好转 7例 (2 0 .6 % ) ,无效 2例 (5 .9% ) ,总有效率94 .1%。无严重术后并发症 ,术后出血 1例 ,中鼻甲与鼻中隔粘连 2例 (2侧 )。结论 :鼻内窥镜手术治疗慢性鼻窦炎鼻息肉具有良好的疗效。手术操作熟练准确 ,彻底清除病变是手术成功的重要保证。
Objective: To explore ways to improve the efficacy of nasal endoscopic surgery. Methods: 40 cases of patients with chronic sinusitis and nasal polyps underwent endoscopic sinus surgery. Results: Of the 40 cases, 34 cases were followed up for more than half a year, 25 cases (73.5%) were cured, 7 cases (20.6%) were improved, 2 cases (5.9%) were ineffective and the total effective rate was 94.1% . No serious postoperative complications, postoperative bleeding in 1 case, middle turbinate and nasal septum adhesions in 2 cases (2 sides). Conclusion: Endoscopic sinus surgery for chronic sinusitis and nasal polyps has a good effect. Skilled and accurate surgical procedures, complete removal of the lesion is an important guarantee for the success of the operation.