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严重慢性增生性鼻窦炎的根治较为困难。近年来,手术治疗鼻窦疾病已引起许多耳鼻喉科医生的关注,人们一直在探索降低复发率的手术途径。本文作者回顾12年中对98例严重慢性增生性鼻窦炎实施经鼻窦蝶筛窦切除的治疗经验,并介绍了手术指征、手术方法、术后并发症及其临床结果。认为对累及上颌窦、筛窦、蝶窦的增生性鼻窦炎采用这种手术径路是可取的。自1978年至1990年对98例患慢性增生性鼻窦炎患者施行158次经鼻窦蝶筛窦切除术。
The treatment of severe chronic sinusitis is more difficult. In recent years, surgical treatment of sinus diseases has attracted the attention of many otolaryngologists, people have been exploring ways to reduce the recurrence rate of surgery. The authors reviewed the experience of 12 years in the treatment of 98 cases of severe chronic proliferative sinusitis transcervical sinus surgery, and introduced the surgical indications, surgical methods, postoperative complications and clinical outcomes. That involving the maxillary sinus, ethmoid, sphenoid sinus proliferative sinusitis using this surgical approach is desirable. From 1978 to 1990, 98 patients with chronic proliferative rhinosinusitis underwent sinus sinus excision.