鼻内窥镜手术治疗慢性鼻窦炎疗效评估的探析.pdfVIP

·44 · Ch in J O to rh ino laryngo l, February 1998, V o l 33, N o. 1 临床研究 鼻内窥镜手术治疗慢性鼻窦炎 疗效评估的探讨 李源　许庚 【摘要】　目的　探讨鼻内窥镜手术治疗鼻窦炎的疗效评估方法。方法　对1991～ 1995年手术并 随访1年以上的725例完整临床资料, 按照本文作者参加设计的广州 FESS95疗效评估指标进行分析。 结果　鼻窦病变性质, 范围和严重程度的差别与手术疗效有显著相关性, 725例中总治愈好转率 型: 一期为100% , 二期为97. 3% , 三期为88. 6% ; 型: 一期为100% , 二期为89. 9% , 三期为87. 1% ; 型 为80. 6% 。结论　建立统一的鼻窦炎诊疗评定标准对正确评价经鼻内窥镜鼻窦手术疗效具有重要意 义。 【关键词】　鼻窦炎　　鼻息肉　　内窥镜检查　　外科手术 Exploration of evaluating way of curative effect in tran snasal endoscop ic sinus surgery for treating , . , chron ic sinusitis L i Y uan X u Geng T h ird A f f iliated H osp ital S un Y at S en U niversity of M ed ical S ciences, Guang z hou 510630 【 】　 　 Abstract Objective To exp lo re the evaluating w ay of curative effect in transnasal endo . 　725 scop ic sinus surgery fo r treating ch ronic sinusitis M ethods cases w ho suffered from ch ronic si nusitis and undergone the endo scop ic sinus surgery in 1991～ 1995w ere analyzed acco rding to the in . 　 , dex that set up by ourselves Results T he difference of p roperties lim its and extents of patho logi cal changes in sinuses affected directly the surgical result. Conclusion 　It is very impo rtant to build up a staging system and a criterion of treating effect on ch ronic sinusitis fo r app raising p roperly the . endo scop ic sinus surgery 【 】　 　　 　　 　　 , Key words Sinusitis N asal po lyp s Endo scopy Surgery operative 　　 慢性鼻窦炎和鼻息肉因其病变性质、范围、严 手术1 089例, 其中慢性鼻窦炎、鼻息肉或二者兼有