摘要
目的 :探讨功能性鼻窦内窥镜手术 ( FESS)对不同型期鼻窦炎患者鼻粘液纤毛清除率的影响。方法 :将10 5例 ( 193侧 )鼻窦炎、鼻息肉患者进行临床分型分期和 FESS后疗效评定 ;用糖精法测定术前和术后 3、6个月的鼻粘液纤毛输送率 ( MTR)。结果 :1从 ～ 型疗效呈递减趋势 , 型 、 期和 型的疗效较差。2术前 型 、 期 MTR和 型 期间无显著性差异 ,而与 型 、 期和 型间有显著性差异。 3术后 3个月的 MTR较术前明显提高 ,但术后 3个月各型间的两两比较仍与术前相似 ,以 型 , 期和 型较差。术后 6个月和 3个月比较 ,仅 型 、 期和 型有显著性差异 ,且术后 6个月各型间比较已无显著性差异。结论 :FESS后各型期MTR均得到不同程度的恢复 ,MTR术前和术后的恢复均与临床分型分期密切相关 ,证实了鼻窦炎、鼻息肉临床分型分期的合理性 ;糖精法测量
Objective:To explore the effect of functional endoscopic sinus surgery(FESS)on the mucociliary clearance of nasal mucosa.Method:105 patients suffered from chronic sinusitis and undergone FESS from Jan.1998 to Dec.1998 were staged and analyzed according to the standard set up in Haikou in 1997.The nasal mucociliary transport rate(MTR)was measured by “saccharin” before,three months and six months after surgery.Result:①The difference of the stages for chronic sinusitis affected directly the surgical result.②The difference of properties,limits and extents of pathological changes in sinuses was significantly associated with the MTR.The MTR showed a marked reduction in stage Ⅱ Ⅱ,Ⅱ Ⅲ and Ⅲ.The MTR was increased after surgery.③The difference of the stages affected directly the recovery of MTR.The MTR in stage Ⅰ Ⅰ,Ⅰ Ⅱ,Ⅰ Ⅲ and Ⅱ Ⅰrecovered more quickly.Conclusion:The MTR of nasal mucosa tended to recover after FESS.The study confirmed that the present staging system for chronic sinusitis was seasonable.We therefore propose the “saccharin” technique as a simple,safe,reliable and objective method of assessing the results of surgery.
出处
《临床耳鼻咽喉科杂志》
CSCD
2000年第8期339-341,共3页
Journal of Clinical Otorhinolaryngology
基金
安徽省立医院耳鼻咽喉科 !(合肥
2 3 0 0 0 1)
关键词
鼻窦炎
内窥镜术
纤毛运动障碍
Sinusitis Endoscopy Ciliary motility disorder
