摘要
目的 探讨鼻内镜联合柯陆氏入路治疗合并难治性Haller气房的慢性上颌窦炎的可行性及疗效.方法 对12例鼻内窥镜下难以完成Haller气房切除、上颌窦中鼻道开窗的慢性上颌窦炎患者采用柯陆氏入路开放Haller气房并完成上颌窦、中鼻道开窗术.结果 术后随访6个月,12例患者术前症状及体征消失,鼻腔通气良好,无并发症及后遗症.术腔上皮化良好,上颌窦中鼻道开放通畅.结论 对于内镜下难以完成气房切除者,采用内镜联合柯-陆氏入路行气房切除中道开窗术是一个较好的选择.
Objective To explore the feasibility and efficacy of nasal endoscopy combined with Kelu Shi approach in the treatment of chronic maxillary sinusitis complicated with refractory Haller's atrium. Methods For 12 patients with chronic maxillary sinusitis who were difficult to complete Haller's air chamber resection and fenestration of the middle maxillary meatus under nasal endoscope, the Kelu Shi approach was used to open Haller's air chamber and complete fenestration of the maxillary sinus and the middle nasal meatus. Result Patients were followed up for 6 months,12 patients with preoperative symptoms and signs disappeared,nasal ventilation well with no complications and sequelae. The operative cavity was well epithelialized and the middle nasal meatus of maxillary sinus was open and unobstructed. Conclusions For those who are difficult to complete the resection under endoscopy, it is a better choice to adopt endoscopy combined with Kelu Shi approach for the midway fenestration of the resection.
出处
《浙江临床医学》
2019年第3期374-375,共2页
Zhejiang Clinical Medical Journal
