摘要
目的探讨双径路鼻内镜手术治疗非侵袭性真菌性上颌窦炎的诊治要点及疗效。方法回顾性分析12例非侵袭性真菌上颌窦炎患者的病例资料，全部施行双径路鼻内镜手术，术后定期随访。结果术后随访3～24个月（平均12个月），疗效满意，无复发。结论非侵袭性真菌性上颌窦炎发病、转归与鼻道窦口复合体解剖结构异常有密切的关系，而充分解除鼻道窦口复合体病变，彻底清除窦腔内真菌团块，恢复鼻腔鼻窦通气引流是本病治疗的原则和关键；双径路鼻内镜手术治疗非侵袭性真菌性上颌窦炎疗效好，复发率低，可作为首选术式。
Objective To evaluate the curative effect of double -way endoscopic sinus surgery in noninvasive fungal maxillary sinusitis. Methods We had retrospectively analyzed 12 cases with non - invasive fungal maxillary sinusitis, all had performed double - way endoscopic sinus surgery and were followed - up regularly after surgery. Results The postoperative follow - up time ranged from 3 to 24 months （average 12 months）, with satisfactory curative effect and no recurrence. Condusion （ 1 ） The non - invasive fungal maxillary sinusitis has close relation with the abnormal anatomy of ostiomeatal complex （OMC）. The prineiple and key point of treatment is fall eliminate the lesion of OMC, take out the fungal ball in sinus completely, recover the ventilation and drainage of nasal cavity and sinus. （2）Double -way endoscopic sinus surgery has satisfactory curative effect, low recurrence rate and is the first surgical type in non- invasive fungal maxillary sinusitis.
出处
《中国医学创新》
CAS
2010年第5期98-99,共2页
Medical Innovation of China
关键词
非侵袭性真菌性上颌窦炎
双径路
鼻内镜手术
Non - invasive fungal maxillay sinusitis
Double - way
Endoscopic sinus surgery
