【摘要】 目的:探讨鼻内窥镜下复发性鼻窦炎、鼻息肉再手术的疗效。方法:为124例复发性鼻窦炎、鼻息肉行鼻内窥镜手术,用Messerklinger术式,Stryker切削器,术中用中药冲洗术腔,辅以弱激光鼻腔内照射。结果:病变清除彻底,窦口开放良好,手术满意82例(66.1%),手术欠满意31例(25.0%),无效11例(8.9%)。结论:复发性鼻窦炎、鼻息肉的鼻内窥镜再手术适合于鼻腔黏连、堵塞、病变清楚但手术不彻底的患者,哮喘不影响再手术的效果,鼻息肉病内窥镜再次手术也无法根本解决。更多还原

【Abstract】 Objective:To evaluate the efficacy of endoscopy for recurrent chronic sinusitis and polyps. Methods:One hundred and twenty-four patients were reoperated on by endoscopy.Messerklinger technique and Stryker debrider were adopted during operation.Results: There were 82 cases with satisfactory,31 with improved and 11 with unimproved results.Conclusion: Revision endoscopic sinus surgery is advised in most of the recurrent chronic sinusitis and polyps with nasal adhesion and obstruction except for nasal polyp disease.Bronchial asthma does not affect the revision endoscopic sinus surgery.更多还原