摘要
目的:回顾分析3种不同入路鼻内镜手术治疗非侵袭性真菌性上颌窦炎的临床效果。方法:根据不同术式,将32例分为3组:A组9例,行鼻内镜鼻内、外双径路上颌窦病灶清除术;B组:15例,行鼻内镜鼻内中、下鼻道双径路术;C组:8例,行单纯鼻内镜手术。结果:A组9例,治愈率100%;B组15例,复发1例,治愈率93%;C组8例,治愈率100%。3组病理检查均未见窦腔黏膜内有真菌生长。结论:治疗非侵袭性真菌性上颌窦炎,不论采取何种术式,都要达到既微创又彻底去除病灶,使鼻窦引流通畅和通气的目的。
Objective:The clinical effects of three different approaches were retrospectively analysed in the treatment of non-invasive paranasal sinuses mycosis.Method:Thirty-two cases between January,1999 to December,2003 with non-invasive paranasal sinuses were operated by using nasal endoscope in different approaches ,such as two pathway of in-nose and out-nose,two pathway of middle and inferior meatus,and single pathway of middle meatus.The clinical effects were analysed.Result:The three different approaches were adopted according to different nasal cavity structure and good effects were got.Conclusion:No matter which operation styles is adopted,the final aim is to drainage and to ventilate the sinuses,to clean the pathological lesion and to make the wound as slight as possible.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2005年第11期494-495,共2页
Journal of Clinical Otorhinolaryngology
关键词
内镜术
上颌窦炎
真菌病
Endoscopic
Maxillary sinusitis
Mycoses
