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題名 | Endoscopic Sinus Surgery: Analysis of 1500 Cases=內視鏡鼻竇手術:1500例分析 |
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作者姓名(中文) | 江榮山; 許振益; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷期 | 34:4 民88.07-08 |
頁次 | 頁292-297 |
分類號 | 416.854 |
關鍵詞 | 內視鏡鼻竇手術; 適應症; 併發症; 預後; Endoscopic sinus surgery; Indication; Complication; Prognosis; |
語文 | 英文(English) |
中文摘要 | 背景:內視鏡鼻竇手術在近來已經成為一個普遍的手術。它的適應症除了慢性鼻 竇炎還包括許多其他的適應症, 例如眼眶減壓術,倒生性乳頭瘤等。 方法:從 1988 年 4 月在本科開始施行內視鏡鼻竇手術以來, 至 1998 年 3 月我們一共收集 1500 例內視鏡鼻 竇手術手術病例,經由病及問卷調查來分析它的適應症,手術步驟,併發症以及預後。結 果:共有 1353 名病患接受這 1500 例內視鏡鼻竇手術。其中,男性 834 名,女性 519 名 。 年齡分布從 3 歲至 81 歲,平均 41.6 歲。我們將應症分成 17 類,最常見的適應症是 不合併鼻息肉的慢性鼻竇炎,其次是鼻息肉。1323 例內視鏡鼻竇手術是初次手術, 177 例是 再次手術。 共有 148 例發生手術併發症,其中大多數小是較小的併發症。接受內視鏡鼻竇 手術後,77.7% 的慢性鼻竇炎病患不管合併或不合併鼻息肉覺得他們的鼻竇炎症狀有改善。 結論:內視鏡鼻竇手術能有效及安全的來治療許多疾病,而且它的手術後發病率也較少。 |
英文摘要 | Background:Endoscopic sinus surgery (ESS) has recently become a popular procedure; Its inddication has been extendedd from chronic sinusitis to many other conditions, including orbital decompression, inverted papillomas etc. Methods:ESS was performed for many conditions in our department beginning in April 1988. As of March 1998, 1500 cases were available for analysis of indication, operative procedures complications. and prognosis by file and questionnaire review. Results: During this period, 1353 patients receive ESS 1500 times in our department. Of these patients, 834 were male and the other 519 were female. Their ages ranged from 3 to 81 years old, with a mean age of 41.6 years. The indications were classified into 17 categories. The most common indiction was chronic sinusitis without nasal polyps. and the second most common was nasal polyps. The surgeries included 1323 primary ESS cases and 177 revision ESS cases. Complications occurred in 148 cases, but most were minor complications.After ESS, 77.7% of our chronic sinusitis patients with or without polyposis felt they had improved Conclusions: ESS is effective and safe for teating many disorders with low resulting morbidity, |
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