山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (5): 44-46.doi: 10.6040/j.issn.1673-3770.0.2013.153

• 论著 • 上一篇    下一篇

上颌窦冲洗在鼻内镜治疗真菌球型上颌窦炎中的应用

沈志豪1，吴素娟1,张维天2   

  1. 1.上海市嘉定区中心医院耳鼻咽喉科， 上海  201800；
    2.上海交通大学附属第六人民医院耳鼻咽喉科， 上海 200233
  • 收稿日期:2013-05-23 出版日期:2013-10-16 发布日期:2013-10-16
  • 作者简介:沈志豪。 Email:shengzh1010@sina.com

Maxillary sinus irrigation in treating fungal ball maxillary sinusitis under endoscopic sinus surgery

SHEN Zhi-hao1, WU Su-juan1, ZHANG Wei-tian2   

  1. 1. Department of Otorhinolaryngology, Shanghai Jiading District Central  Hospital, Shanghai 201800, China; 2. Department of Otorhinolaryngology， Shanghai Sixth People′s Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai 20233, China
  • Received:2013-05-23 Online:2013-10-16 Published:2013-10-16

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摘要：

目的    探讨鼻内镜手术结合术中冲洗治疗真菌球型上颌窦炎的疗效。方法    2009年12月至2012年12月我科共诊治55例真菌球型上颌窦炎患者,随机分成两组。A组27例，采用单纯鼻内镜中鼻道径路治疗；B组28例，采用鼻内镜中鼻道径路结合术中冲洗治疗。术后随访，比较两组疗效。结果    术后随访至少6个月，两组术中、术后均无并发症发生。A组治愈21例，有6例复发，在第2次手术时术中冲洗最终治愈；B组治愈28例，无1例复发。B组疗效明显优于A组。结论    相比较单纯鼻内镜中鼻道径路手术，鼻内镜中鼻道径路手术结合术中冲洗治疗真菌球型上颌窦炎具有更确切的疗效，符合微创理念，值得临床推广。

关键词: 真菌球病, 鼻内镜外科手术, 上颌窦炎

Abstract:

Objective    To investigate the clinical efficacy of endoscopic sinus surgery in combination with intra-operative irrigation in treating patients with fungal ball maxillary sinusitis. Methods    Fiftyfive patients with fungal ball maxillary sinusitis were treated by endoscopy in our department from December 2009 to December 2012 .They were randomly divided into two groups. Twenty seven patients were treated with endoscopic middle nasal meatus approach (group A) and 28 were treated with middle nasal meatus approach in combination with intra-operative sinus irrigation（group B）. Results    Followed up for at least 6 months, no complications happened in two groups. There were 21 patients in group A were cured and 6 recurred, and there were 28 patients in group B were cured without recurrence. The therapeutic effect of group B was significantly better than that of group A. Conclusion    Middle meatus approach surgery in combination with intra-operative sinus irrigation is more effective than pure endoscopic middle meatus approach in treatment of fungal ball maxillary sinusitis.

Key words: Fungus balls disease, Endoscopic surgical procedures, operative, Maxillary sinusitis

中图分类号: 

  • R765.4
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