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功能性内镜鼻窦手术是治疗慢性鼻-鼻窦炎的重要手段,手术是治疗的开始,其目的是使鼻腔、鼻窦恢复正常形态,并达到功能正常。手术的效果受多种因素的影响,术后黏膜的组织学检查较术前均有改善,但恢复时间不同,部分组织学的恢复可能需要1年甚至更长的时间。了解术后黏膜恢复及其影响因素,有助于完善术后治疗、提高临床治愈率。现就慢性鼻-鼻窦炎鼻内镜术后黏膜恢复的变化及影响因素进行综述。
Functional endoscopic sinus surgery is an important treatment for chronic rhinosinusitis, surgery is the beginning of treatment, its purpose is to make the nasal cavity, sinus return to normal form, and to achieve normal function. The effect of surgery is influenced by many factors. The postoperative histological examination of the mucosa improves compared with that before operation. However, the recovery time is different and some histological recovery may take 1 year or more. Understanding of postoperative mucosal recovery and its influencing factors will help improve the postoperative treatment and improve the clinical cure rate. Chronic rhinosinusitis is now nasal endoscopic mucosal recovery changes and influencing factors are reviewed.