摘要
目的 :探讨慢性鼻窦炎、鼻息肉内镜鼻窦术后随访的时间和糖皮质激素鼻内用药的效果。方法 :对 30例鼻窦炎、鼻息肉患者行内镜鼻窦手术 ,术后定期随访 ,行内镜下术腔护理、鼻窦冲洗和糖皮质激素雷诺考特鼻内局部应用 ,观察临床疗效。结果 :术后 3个月 ,2 5例鼻腔、鼻窦已干燥、上皮化 ;术后 6个月 ,2 8例鼻腔、鼻窦已干燥、上皮化 ,鼻塞、头痛均消失。 4例伴变应性鼻炎者 ,鼻腔有少许分泌物 ;10例嗅觉障碍者中 3例无改善。结论 :内镜鼻窦手术后的鼻内镜随访、术腔护理及糖皮质激素鼻内应用 ,在慢性鼻窦炎、鼻息肉的治疗过程中起着同样重要的作用。
Objective:To explore the follow-up time and the effect of intranasal glucocorticoid for chronic sinusitis and nasal polyps after endoscopic sinus surgery.Method:After the endoscopic sinus surgery,30 cases of sinusitis and nasal polyps accepted the postsurgical care for the cavity, sinus washing, and intranasal local glucocorticoid rhinocort,then the clinical effects was follow-up surveyed.Result:Intranasal local glucocorticoid could evidently reduce the courses of dry and the epithelial metaplasia of nasal cavity and sinus.Conclusion:After the endoscopic sinus surgery, follow-up of endoscopic sinus, postsurgical care for the cavity and intranasal local glucocorticoid played equally important roles in treating sinusitis and nasal polyps.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2004年第8期477-478,共2页
Journal of Clinical Otorhinolaryngology
关键词
鼻窦炎
鼻息肉
内镜术
糖皮质激素
Sinusitis
Nasal polyps
Endoscopy
Intranasal glucocorticoid
