Đánh giá kết quả điều trị viêm mũi xoang mạn tính có polyp mũi bằng phẫu thuật nội soi mũi xoang tại bệnh viện Tai mũi họng năm 2015-2017

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Tác giả: Chiêu Hòa Châu

Ngôn ngữ: vie

Ký hiệu phân loại: 616.21 *Diseases of nose, nasopharynx, paranasal sinuses, larynx

Thông tin xuất bản: Y học Việt Nam, 2018

Mô tả vật lý: 31-35

Bộ sưu tập: Metadata

ID: 541199

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Background
Chronic rhmosinusitis with nasal polyps (CRSwNP) IS a highly prevalent disease of the nasal cavity and paranasal sinus, but its exact etiology is still unclear and remains a difficult to treat condition. Endoscopic sinus surgery (ESS) is an effective treatment for medically recalcitrant CRSwNP. Objectives: To evalate ESS efficacy in CRSwNP treatment at Can Tho ENT Hospital. Materials and method: This is prospective cross-sectional descriptive study with 140 patients of CRSwNP submitted to ESS from April 2015 to July 2017. Results: One hundred forty CRSwNP patients (83 male, 57 female, mean age was 41,2 ± 12.55 years old) having undergone ESS involvmg polypectomy were enrolled. All rhinologic symtoms improved after surgery, in a statistically way: 84.3% no nasal discharge, 77 1% no hyposmia, 76.4% no nasal obstruction. 90% no polyp at 3-month follow-up endoscopy exams. The commonest surgical complication observed was synechiae between middle turbinate and septum nasal (5%). No major complications like CFS leak, retro orbital hemorrhage, diplopia and blindness were noted. The results after 3 months surgery showed that good with 88.6%, average with 8.6% and bad with 2.8%. Conclusion: It was concluded that ESS has proved to be an safe and effective treatment in CRSwNP.Đánh giá kết quả điều trị viêm mũi xoang mạn tính có polyp mũi bằng phẫu thuật nội soi mũi xoang trên 140 bệnh nhân tại bệnh viện Tai mũi họng năm 2015-2017. Kết quả cho thấy tất cả các triệu chứng cơ năng chính về mũi đều được cải thiện sau phẫu thuật, 84,3% không còn chảy mũi, 77,1% không còn triệu chứng rối loạn khứu giác. Không có trường hợp nào biến chứng nặng như chảy dịch não tủy, chảy máu sau nhãn cầu, song thị hay mù mắt. Sau 3 tháng có 88,6% đạt kết quả tốt, 8,6% đạt kết quả trung bình và 2,8% đạt kết quả xấu.

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