摘要
目的探讨鼻内镜手术中扩大上颌窦口大小与术后疗效的关系。方法采用自身配对,研究120例双侧病变相近的、术中见双侧上颌窦窦口均有病变的I、II型慢性鼻窦炎鼻息肉患者,对比一侧窦口尽量扩大,另一侧常规扩大,术后不同时期鼻腔症状改善情况及窦口开放率。结果术中尽量扩大窦口一侧在不同时期其症状改善程度均优于常规扩大侧,随访6个月,窦口开放良好率为96.7%。结论鼻内镜手术中,对上颌窦窦口有病变者,尽量扩大窦口,有利于上颌窦通气引流,提高手术疗效。
Objective To investigate the relationship therapeutic effects in endoscopic sinus surgery （ESS）. Methods between the size of enlarged maxillary ostia and 120 cases with bilateral chronic maxillary sinusitis and nasal polyps of clinical stages Ⅰ and Ⅱ were studied with self-control. During ESS, bilateral chronic maxillary sinusitis was confirmed; each side was randomly divided into study side or control side. The maxillary ostia of study side were opened as wide as possible, while those of control were treated regularly. All the patients were followed up after operation to observe and compare the relief of nasal symptoms and the patency rates of maxillary ostia between the two sides. Results The symptoms of study side were better relieved than those of control at different postoperative stages. The curative rate of the study side was 96. 7%, 6 months after operation. Conclusion It may be proper that the maxillary ostia of chronic maxillary sinusitis should be broadened as wide as possible during ESS.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2007年第4期285-286,共2页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
鼻息肉
鼻窦炎
鼻内镜术
上颌窦
Nasal polyp, sinusitis
Endoscopy
Maxillary sinus
