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多窦炎占全部鼻窦炎的75％,治疗很困难,多数倾向手术治疗,但手术切除中鼻甲破坏了鼻腔的正常结构,达不到根治目的,息肉复发率仍很高。作者提出综合治疗:包括鼻内解剖异常的矫正,面部抗炎及全身脱敏。鼻中隔畸形应行中隔成形术,中鼻甲和下鼻甲肥大则行粘膜下切除术。病变累及上颌窦和筛窦者最多,通常引流上颌窦和筛窦;额窦和蝶窦病变较少,可仅局部扩探窦口用抗生素冲洗。上颌窦、筛窦放置引流管后,通过该管滴入配方药物:敏感抗生素250,000单位,泼尼松15mg,5％麻黄
More sinusitis accounted for 75% of all sinusitis, the treatment is very difficult, the majority tend to surgical treatment, but the surgical removal of the nasal turbinate destroys the normal structure of the nasal cavity, reach the goal of cure, polyp recurrence rate is still high. The authors propose a comprehensive treatment: including correction of intranasal anatomical abnormalities, facial anti-inflammatory and systemic desensitization. Nasal septum deformity should be line septoplasty, middle turbinate and turbinate hypertrophy submucosal resection. Maxillofacial and ethmoid lesions involving the most, usually drainage of the maxillary sinus and ethmoid; frontal sinus and sphenoid sinus lesion less, only the local expansion of the ostium to wash with antibiotics. Maxillary sinus, ethmoid sinus drain tube placed after the tube through the drop of prescription drugs: sensitive antibiotics 250,000 units, prednisone 15mg, 5% ephedra