山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (4): 46-48.

• 论著 • 上一篇    下一篇

鼻窦球囊导管扩张术联合纤维鼻咽喉镜治疗鼻窦囊肿

萧建新,陈瑞开,何碧仪,陈伟雄,王跃建   

  1. 佛山市第一人民医院耳鼻咽喉头颈外科,广东 佛山  528000
  • 收稿日期:2012-04-10 出版日期:2012-08-16 发布日期:2012-08-16
  • 作者简介:萧建新。Email:fsxioj@163.com

Balloon catheter dilation technology in combination with fibrolaryngoscope in treating sinus cyst

XIAO Jian-xin, CHEN Rui-kai, HE Bi-yi, CHEN Wei-xiong, WANG Yue-jian   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Foshan First People′s Hospital, Foshan 528000, Guangdong, China
  • Received:2012-04-10 Online:2012-08-16 Published:2012-08-16

摘要:

目的   评价鼻内镜鼻窦手术和鼻窦球囊导管扩张术联合纤维鼻咽喉镜治疗鼻窦囊肿的疗效。方法   分析14例(19个上颌窦,3个额窦)应用鼻窦球囊导管扩张术联合纤维鼻咽喉镜手术切除鼻窦囊肿(球囊组)和16例(23个上颌窦,8个额窦)采用常规鼻内镜鼻窦手术方式切除鼻窦囊肿(常规组)病例的临床资料。依视觉模拟量表(visual analogue scale, VAS)记录手术难度评分和手术时间。手术前后均行鼻内镜检查、冠状位鼻窦CT检查,采用Lund-Kennedy内镜和Lund-Mackay鼻窦CT评分系统评价预后。结果   球囊组手术难度高于常规组,手术时间也较长,两组间差异有统计学意义(P<0.001)。术后观察8、24周, 鼻内镜检查见窦口通畅,Lund-Kennedy内镜和Lund-Mackay鼻窦CT评分结果显示,所有病例术腔恢复良好,术后鼻窦CT影像示改善明显,但两组比较差异无统计学意义(P>0.05)。结论   球囊组与常规组行鼻窦囊肿手术可获得同-良好的疗效。球囊组的手术方式能够保留鼻腔鼻窦的正常结构,手术微创。由于纤维鼻咽喉镜手术器械的限制,手术难度较常规组高,手术时间较长。

关键词: 囊肿;上颌窦;额窦;鼻内镜外科手术;球囊导管

Abstract:

Objective   To evaluate the effect of nasal endoscopic sinus surgery and balloon catheter dilation technology in combination with fibrolaryngoscopy in treating sinus cyst. Methods   The clinical data of 14 cases (19 maxillary sinuses, 3 frontal sinuses) using the balloon catheter dilation technology in combination with fibrolaryngoscopy (the balloon group) and 16 cases (23 maxillary sinuses, 8 frontal sinuses) using conventional nasal endoscopic sinus surgery (the conventional group) were retrospectively analyzed. Visual analog scale (VAS) was used to record operative difficulty grade and operation time. Nasal endoscopy, coronal sinus CT scanning, Lund-Kennedy endoscopy and Lund-Mackay CT scan staging scores were used to evaluate the post-operative prognosis. Results   The balloon group was longer in operative time than the conventional group (P<0.001). During follow-up periods of  8 and 24 weeks after the operation, the sinus ostia were patency, and the nasal cavities recovered well. Conclusion   In the sinus cyst operation, the balloon group and the conventional group  equally  achieve good curative effects. In the balloon group, the nasal cavity and sinus structures can be preserved with  minimal invasion, but the operation is more difficult and longer than those in the conventional group, due to the fibrolaryngoscope.

Key words: Cyst; Maxillary sinus; Frontal sinus; Endoscopic sinus surgery; Balloon catheter

中图分类号: 

  • R765.9
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