电磁导航引导筛窦球囊成形术精准治疗慢性筛窦炎10例

doi:10.6040/j.issn.1673-3770.0.2020.208

摘要/Abstract

摘要： 目的评价电磁导航引导下筛窦球囊成形术的手术效果。方法回顾分析符合手术适应证进行电磁导航引导筛窦球囊成形术(ENBS)和功能性鼻内镜手术(FESS)的20例慢性筛窦炎患者临床资料,并对两组患者手术前后视觉模拟量表(VAS)、鼻腔-鼻窦结局测试22条(SNOT-22)及Lund-Mackay CT评分(LMS)进行统计学分析。结果 ENBS和FESS手术前后的VAS、SNOT-22及Lund-Mackay(CT)评分差异有统计学意义;ENBS和FESS在手术时间、手术出血量、术后上皮化恢复时间差异有统计学意义。结论 ENBS和FESS对慢性筛窦炎均有良好疗效,两种术式治疗效果差异无统计学意义。通过导航引导下的ENBS较FESS术区定位精准、手术时间短、出血量少、创伤范围小、术后恢复时间短,ENBS治疗慢性筛窦炎更为精准。

关键词: 电磁导航, 慢性筛窦炎, 球囊窦成形术, 功能性鼻内镜手术, 视觉模拟量表(VAS), 鼻腔-鼻窦结局测试22条(SNOT-22), Lund-Mackay CT(LMS)评分

Abstract: Objective Evaluation of the surgical effect of using electromagnetic navigation guidance for balloon dilatation in ethmoid sinus surgery. Methods We retrospectively analyzed the clinical data of 20 cases of chronic sinusitis surgically treated with electromagnetic navigation balloon sinuplasty(ENBS)or functional endoscopic sinus surgery(FESS). We statistically analyzed the visual analog scale(VAS)score, the 22-item Sinonasal Outcome Test(SNOT-22)result, and Lund-Mackay score(LMS)before and after surgery. Results ENBS and FESS showed significant differences in the VAS score, SNOT-22 result, and LMS score before and after surgery as well as in surgery time, blood loss volume, and postoperative epithelial healing time. Conclusion ENBS and FESS for chronic sinusitis had good curative effects and showed no significant differences in the surgical treatment effect. However, ENBS enabled a more precise positioning of the scope, shorter operation time, lesser blood loss volume and trauma, and shorter postoperative recovery time compared to FESS.

Key words: Electromagnetic navigation, Chronic ethmoid sinusitis, Balloon sinuplasty, Functional endoscopic surgery, Visual analogue scale(VAS), 22-item Sinonasal Outcome Test, Lund-Mackay score(LMS)

中图分类号:

R765.4

王再兴,唐志元,赵海亮,刘智献,李定波,李胜,马世博,卢永田. 电磁导航引导筛窦球囊成形术精准治疗慢性筛窦炎10例[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 61-68.

WAGN Zaixing, TANG Zhiyuan, ZHAO Hailiang, LIU Zhixian, LI Dingbo, LI Sheng, MA Shibo, LU Yongtian. Ten cases of chronic ethmoid sinusitis were accurately treated by electromagnetic navigation guided ethmoid sinus balloon angioplasty[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(1): 61-68.

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