12例HIV阳性的鼻窦炎患者行鼻内镜手术的临床分析

江玲燕; 鲍诗平

doi:10.13201/j.issn.1001-1781.2018.19.013

12例HIV阳性的鼻窦炎患者行鼻内镜手术的临床分析

江玲燕,
鲍诗平^,

- 首都医科大学附属北京佑安医院耳鼻咽喉头颈外科(北京, 100069)

详细信息

通讯作者: 鲍诗平, E-mail:baoshiping@163.com

中图分类号: R765.41;R512.91

收稿日期: 2018-08-16

Clinical analysis of endoscopic sinus surgery on 12 HIV-positive patients with sinusitis

JIANG Lingyan,
BAO Shiping^,

- Department of Otorhinolaryngology Head Neck Surgery, Bejing You'an Hospital, Capital Medical University, Beijing, 100069, China

More Information

Corresponding author: BAO Shiping, E-mail: baoshiping@163.com

Received Date: 16 August 2018

摘要

摘要: 目的: 探讨HIV阳性的鼻窦炎患者行鼻内镜手术治疗的可行性。方法: 对12例行鼻内镜手术的HIV阳性患者临床表现、治疗方法及疗效进行回顾性总结分析。结果: 随访1~6年,8例患者完全痊愈,1例好转,3例复发,有效率达75%,患者生存质量明显提高。结论: 对于HIV阳性的鼻窦炎患者,在符合手术适应证的情况下,如果主要检查结果正常并能充分做好围手术期防护,可同HIV阴性患者一样行鼻内镜手术治疗,且疗效确切。CD4⁺T淋巴细胞计数不应被看作为手术的绝对禁忌证。
- 人类免疫缺陷病毒 /
- 鼻窦炎 /
- 鼻内镜手术
Abstract: Objective: To explore the feasibility of endoscopic sinus surgery on HIV-infected patients.Method: Twelve positive patients suffering from sinusitis undergoing endoscopic treatment were retrospectively analyzed. And the clinical characteristics,treatment and therapeutic effects were summarized.Result: After follow-up up for 1-6 years, 8 cases were cured, 1 case was improved, and 3 cases recurred three months after operation. The effective rate was 75%. The quality of life of patients was improved.Conclusion: For HIV-positive sinusitis patients with surgical indications, endoscopic surgery should be considered if general examinations are normal and full perioperative protections can be taken, and the therapeutic efficacy is definite. CD4⁺ T cell count should not be regarded as an absolute contraindication of surgery.
- human immunodeficiency virus /
- sinusitis /
- endoscopic sinus surgery

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参考文献(11)

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