儿童慢性鼻窦炎的外科治疗研究进展

doi:10.6040/j.issn.1673-3770.1.2019.060

摘要/Abstract

摘要： 近年来,儿童慢性鼻窦炎(CRS)越来越受到耳鼻咽喉科医生的重视。临床上,有一部分儿童CRS患者经过规范的药物治疗(不少于12周)后症状仍难以改善,甚至加重,或是经常复发,导致治疗失败。大量的临床实践表明,儿童鼻窦FESS手术可以取得比较满意的临床疗效,但仍有医师对儿童鼻窦FESS手术治疗存在质疑。鼻窦球囊扩张术治疗慢性鼻窦炎于2005年被引入耳鼻咽喉科。在过去的十几年里,有充分的证据支持它在治疗成人慢性鼻窦炎(CRS)方面的安全性和有效性。鼻窦球囊扩张术手术过程中不去除骨质,保留大部分或全部鼻窦黏膜,以极低的风险恢复鼻窦的通气,这样微创的方式适用于儿童。本文将对儿童慢性鼻窦炎外科治疗的相关研究进展做一综述。

关键词: 儿童慢性鼻窦炎, 鼻窦球囊扩张术, 功能性内窥镜鼻窦手术

Abstract: In recent years, increasing attention has been given by otolaryngology doctors to pediatric patients with chronic rhinosinusitis(CRS). Pediatric patients with CRS are often successfully managed using standard drug therapy of no less than 12 weeks. However, some pediatric patients with CRS suffer from frequent recurrences and treatmentfailure. Surgery is an option when medical management fails.However, the decision regarding surgical therapy inchildren is difficult.Balloon sinuplasty was introduced to otolaryngology in 2005 to treat nasal sinus inflammatory diseases. Evidence now strongly supports its safety and efficacy in treating chronic rhinosinusitis(CRS). As it requires no bone or tissue removal and retains most or all of the sinus mucosa, this procedure could be suitable for children.We will review the literature relating to the surgical treatment of chronic rhinosinusitis in children.

Key words: Pediatric patients with chronic rhinosinusitis, Balloon sinuplasty, Functional endoscopic sinus surgery

中图分类号:

R765.04

刘佳, 付勇. 儿童慢性鼻窦炎的外科治疗研究进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(6): 29-33.

LIU Jia, FU Yong. Advances in the surgical treatment of pediatric patients with chronic rhinosinusitis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 29-33.

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