【摘要】 目的探讨慢性鼻-鼻窦炎鼻内镜术后不同的术腔处理时机及频度对疾病恢复与疗效的影响。方法212例慢性鼻-鼻窦炎患者按首次术腔清理的时机和频度不同分为常规清理组(简称常规组)和延长清理组(简称延长组),常规组首次术腔清理的时机在术后5~7天,频度为第1月每周1次,第2~3月每两周1次,第4~6月每月1次;延长组首次术腔清理的时机在术后10~14天,频度为第1月2周一次,第2~3月每月1次,第4~6月每2月一次。结果延长组术后1年息肉复发较常规组明显减少(P<0.05),术后3月上皮化高于常规组(P<0.05),而1年后疗效差异无显著性意义(P>0.05)。结论适当延长首次清理时间,减少清理频度有利于慢性鼻-鼻窦炎鼻内镜手术后的恢复。更多还原

【Abstract】 Objective To investigate the effect of different frequence and opportunity of nasal douche on chronic rhinosinusitis after endoscopic sinus surgery(ESS).Methods 212 patients with chronic rhinosinusitis were randomly divided into two groups(TG,with 106 cases in it) and control one(CG,with 106 cases in it).The first time of nasal douche of control group is five to seven days after surgery,while the test group is 10 to 14 days after surgery.Results There were significant difference between test group and control group(P < 0.05) in terms of not only the nasal polyp recurrence rate 1 year postoperatively but also the epithelization of nasal mucosa 3 months postoperatively.There were no significant difference between test group and control group(P > 0.05) in terms of the complications postoperatively.Conclusions For patients with chronic rhinosinusitis after ESS,appropriate extension of the first cleaning-up time and reduction of the frequency of cleaning-up could be very useful to promote the epithelization of nasal mucosa,and reduce recurrent rate.更多还原