山东大学耳鼻喉眼学报 ›› 2014, Vol. 28 ›› Issue (6): 23-25.doi: 10.6040/j.issn.1673-3770.0.2014.150

• 论著 • 上一篇    下一篇

鼻内镜下两种不同径路治疗真菌性上颌窦炎疗效分析

朱发梅, 郑家法, 陈祖尧, 王敏   

  1. 南华大学附属南华医院耳鼻咽喉头颈外科, 湖南 衡阳 421002
  • 收稿日期:2014-05-06 发布日期:2014-12-16
  • 通讯作者: 郑家法,主任医师,硕士生导师.E-mail:13975466338@139.com E-mail:13975466338@139.com
  • 作者简介:朱发梅.E-mail:zfm0929@sina.com

Analysis on therapeutic efficacy of endoscopic nasal surgery with different approaches for treating fungal maxillary sinuisitis

ZHU Fa-mei, ZHENG Jia-fa, CHEN Zu-yao, WANG Min   

  1. Department of Otolaryngology, the Affiliated Nanhua Hospital, University of South China, Hengyang 421002, Hunan, China
  • Received:2014-05-06 Published:2014-12-16

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摘要： 目的 比较鼻内镜下两种不同径路手术治疗真菌性上颌窦炎的临床疗效.方法 取鼻内镜中鼻道联合下鼻道双径路手术治疗真菌性上颌窦炎(40例)作为治疗组,单纯鼻内镜中鼻道径路手术治疗真菌性上颌窦炎(40例)作为对照组,比较两组术后疗效.结果 随访1年,治疗组治愈39例,无效 1例;对照组治愈32例,无效8例(χ2=4.507,P<0.05).结论 中、下鼻道联合径路手术治疗真菌性上颌窦炎疗效优于单纯鼻内镜中鼻道径路手术, 是一种微创、有效、安全的治疗真菌性上颌窦炎的手术方式.

关键词: 真菌, 联合径路, 上颌窦炎, 鼻内镜外科手术

Abstract: Objective To compare the therapeutic effect of different kinds of endoscopic nasal surgery for fungal maxillary sinusitis. Methods 40 patients were treated by endoscopic maxillary sinus surgery in combination with windowing of inferior nasal meatus as the treatment group,and the other 40 patients were treated by the simple endoscopic nasal surgery with middle nasal meatus as the control group. Results During a follow up of one year, 39 patients were cured and 1 patient had relapse in the treatment group, and 32 patients were cured and 8 patients had relapse in the control group (χ2=4.507, P<0.05). Conclusion Endoscopic maxillary sinus surgery in combination with windowing of inferior nasal meatus is a minimally invasive, effective and safe approach for surgical treatment of fungal maxillary sinuisitis.

Key words: Fungus, Endoscopic surgical procedures, operative, Maxillary sinusitis, Combined approach

中图分类号: 

  • R765.9
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