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为总结影响功能性鼻内窥镜鼻窦手术疗效的相关因素,对109例鼻内窥镜手术进行了临床探讨。计男59例,女50例;其中双侧54例,单侧55例(左31例,右24例);年龄最大63岁,最小10岁;病史最长42年,最短1年。有前期传统手术者16例。手术中最大出血量1000ml,最小出血量20ml,平均出血量74.87±2.62ml,手术并发症发生率占3.67%。术后随访2~14个月,临床治愈率占85.32%,临床好转率占98.17%。对慢性鼻窦炎的临床分期标准、术中出血情况、手术并发症的防止及鼻内窥镜与额镜的认识等问题进行了讨论。并认为鼻内窥镜手术是一种值得推广的新式手术
In order to summarize the related factors that affect the efficacy of functional endoscopic sinus surgery, 109 cases of nasal endoscopic surgery were studied clinically. There were 59 males and 50 females. Among them, 54 were bilateral and 55 were unilateral (left 31 and right 24). The oldest was 63 years old and the youngest was 10 years old. The longest history was 42 years and the shortest was 1 year. There are 16 cases of preoperative traditional surgery. The maximum amount of bleeding in surgery was 1000ml, the minimum amount of bleeding was 20ml, the average amount of bleeding was 74.87 ± 2.62ml, the incidence of surgical complications was 3.67%. The patients were followed up for 2 to 14 months. The clinical cure rate was 85.32%. The clinical improvement rate was 98.17%. The clinical staging criteria of chronic sinusitis, intraoperative bleeding, prevention of complications and the understanding of nasal endoscope and frontal mirror were discussed. And that endoscopic nasal surgery is a worthy promotion of new surgery