摘要
目的对比三种不同的鼻内镜下手术方式治疗真菌性上颌窦炎的临床疗效。方法收集2015年5月~2018年5月期间笔者所在医院110例经外科手术治疗的真菌性上颌窦炎病人按照入院顺序随机数字表法分成三组。A组37例,行经鼻内镜中鼻道上颌窦自然窦口开放术,B组37例,行鼻内镜下中鼻道上颌窦自然窦口开放术联合下鼻道开窗术,C组36例,行鼻内镜下中鼻道上颌窦自然窦口开放术联合泪前隐窝入路手术。术后随访1~3年,比较三组病人手术效果、手术并发症、术后复发等。结果术后随访1~3年,所有病人术前各项症状均明显减轻或消失。所有病例均无严重近期、远期并发症发生。结论鼻内镜下联合入路治疗真菌性上颌窦炎,可减少手术盲区,病变清除更为彻底,较单纯中鼻道入路有更低的复发率。
Objective To compare the clinical efficacy of three different nasal endoscopic surgical methods in the treatment of fungal maxillary sinusitis.Methods From May 2015 to May 2019,110 patients with fungal maxillary sinusitis treated by surgery in our hospital were collected and divided into three groups according to different surgical methods.Thirty-seven patients in group A received endoscopic fenestration of the middle nasal tract,37 patients in group B received endoscopic fenestration of the middle nasal tract combined with the inferior nasal tract,and 36 patients in group C received endoscopic fenestration of the middle nasal tract combined with the anterior lacrimal recess approach.Patients in the three groups were followed up for1 year to 3 years.Results The patients were followed up for 1 year to 3 years.Preoperative symptoms were significantly reduced or disappeared in all patients.No serious short-?and?long-term complications were found in all cases.Conclusion Combined nasal endoscopic approach for the treatment of fungal maxillary sinusitis can reduce the surgical blind area,eliminate lesions more effectively,and have a lower recurrence rate than the simple middle nasal approach.
作者
刘鹤
王中亮
邵丽萍
LIU He;WANG Zhongliang;SHAO Liping(Department of Otolaryngology,Head and NeckSurgery,ChengduInteqratedTCM&Western Medicine Hospital,Chengdu 610041,China)
出处
《中国中西医结合耳鼻咽喉科杂志》
2019年第5期356-359,共4页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
基金
四川省卫计委课题(18PJ079)
成都医学院自然基金课题(CYZ17-21)
成都市医学科研课题(2017026)
关键词
鼻内镜术
泪前隐窝入路
下鼻道开窗
Nasal endoscopy
Anterior lacrimal recess approach
fenestration in the inferior meatus
