The analysis of clinical effect for endoscopic sinus surgery in the treatment of recurrent chronic sinusitis and nasal polyps

OBJECTIVE To investigate the clinical efficacy for nasal endoscopic surgery in the treatment of the recurrent sinus and nasal polyps.METHODS The clinical effects and complications of 325 cases with recurrent chronic sinusitis and nasal polyps by endoscopic sinus surgery were analyzed retrospectively.The clinical effect for endoscopic sinus surgery in the treatment of recurrent chronic sinusitis and nasal polyps was evaluated comprehensively.RESULTS 325 patients were taken the implementation of endoscopic sinus surgery,which carried out the first sinus surgery in 157 cases.135 patients were cured after endoscopic nasal surgery,the cure rate was 85.99%.93 cases were conducted with 2 sinus surgery after endoscopic nasal surgery,69 cases were cured,and the cure rate was 73.91%.52 cases were with three sinus surgery,31 cases were cured,and the cure rate was 59.61%.23 cases were taken the implementation of over 4 sinus surgery,11 cases were cured,and the cure rate was 47.83%.The cure rate for different patients with sinus surgery was significantly different(P﹤0.05).The incidence of complications after endoscopic nasal surgery was increasing with the increase in the number of sinus surgery.CONCLUSION The endoscopic sinus surgery can cure for recurrent patients with chronic sinusitis and nasal polyps effectively.But the cure rate of endoscopic sinus surgery is declining with the increase in the number of relapses sinus surgery.So we should take endoscopic sinus surgery as soon as possible for recurrence in patients to avoid the decrease of treatment efficacy for the repeated incidence.