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目的评价慢性鼻窦炎鼻内镜手术治疗的疗效,研究提高鼻内镜手术疗效的方法。方法对300例(581侧)慢性鼻窦炎患者行内镜手术治疗,术后随访观察6个月以上。结果治愈230例(76.67%),有效53例(17.67%),无效17例(5.66%),总有效率94.34%。主要并发症是术中出血、术后鼻腔粘连。结论鼻内镜鼻窦手术治疗鼻窦炎具有良好的疗效。手术的熟练程度、病灶的清除、中鼻甲的正确处理、术后加强术腔清洁管理是防止手术并发症和提高疗效的关键。
Objective To evaluate the curative effect of endoscopic sinus surgery for chronic sinusitis and to study methods to improve the curative effect of endoscopic sinus surgery. Methods 300 cases (581 sides) of chronic sinusitis patients underwent endoscopic surgery, followed up for 6 months. Results The results were cured in 230 cases (76.67%), effective in 53 cases (17.67%), ineffective in 17 cases (5.66%), and the total effective rate was 94.34%. The main complication is intraoperative bleeding, postoperative nasal adhesions. Conclusion Endoscopic sinus surgery for sinusitis has a good effect. The proficiency of the operation, the removal of the lesion, the correct treatment of the middle turbinate, and the strengthening of the management of the cavity after surgery are the keys to prevent the complication of the operation and improve the curative effect.