摘要
目的探讨反张咬钳和钩突刀两种钩突切除方式对非侵袭性真菌性上颌窦炎鼻内镜手术疗效的影响.方法将128例单侧非侵袭性真菌性上颌窦炎患者随机分为A、B两组,每组各64例,A组采用70°鼻内镜下反张咬钳由后向前咬除钩突中部;B组采用0°鼻内镜下钩突刀切除钩突的方法,显露和扩大上颌窦自然开口,清除并冲洗上颌窦内的分泌物.结果与钩突刀切除钩突开放上颌窦的方法相比,采用反张咬钳手术的患者术腔上皮化相对较早,术后上颌窦口再狭窄发生率较低.结论采用鼻内镜下反张咬钳咬除钩突中部,扩大上颌窦自然窦口的手术方式,组织损伤小,恢复快,鼻窦黏膜功能保留良好.
Objective To explore the different effect of unciform process excision with back biting rongour or cickle knife on endoscopic operation of noninvasive fungal nasosinusitis.Methods 128 patients with monolateral noninvasive fungal ball maxillary sinusitis were divided into two groups at random.Whose the middle part of unciform processes of 64 patients（group A） were bited by back biting rongeur while the unciform processes of other 64 patients（group B） were excised by sickle knife.Then the opening of maxillary sinus was enlarged foreward and backward.And the secretion in maxillary sinus was cleaned out through enlarging opening.Results Comparing with excising the unciform process by sickle knife,biting the unciform by back biting rongour before opening the maxillary sinus may result in curing earlier,and the incidence of narrow again of the maxillary sinus opening lower.Conclusion The endoscopic operation of maxillary sinus by back biting rongour can reduce tissue damage,advance recovery and preserve sinus mucous membrane in good condition.
出处
《北华大学学报（自然科学版）》
CAS
2012年第6期660-663,共4页
Journal of Beihua University（Natural Science）
基金
国家自然科学基金项目(30973585)
关键词
真菌
上颌窦炎
内窥镜
外科手术
fungus
maxillary sinusitis
endoscopic surgery
