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
[1] 吴元庆,邓毅,徐进敬. 鼻腔鼻窦真菌球型的疗效分析[J]. 中国耳鼻咽喉颅底外科杂志,2010,16(1):47-49. WU Yuanqing, DENG Yi, XU Jinjing. The curative effect of nasal sinus fungus ball type analysis[J]. Chin J Otolaryngol Skull Base Surgery, 2010, 16(1):47-49.
[2] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科学分会鼻科学组. 慢性鼻-鼻窦炎诊断和治疗指南(2012年,昆明)[J]. 中华耳鼻咽喉头颈外科杂志,2013,48(2):92-94. Subspecialty Group of RhinologySociety of Otorhinolaryngology Chinese Medical Association, the Chinese medical association otolaryngology head and neck surgery branch of the nasal science group. Chronic nasal sinusitis diagnosis and treatment guidelines(2012.Kunming)[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2013, 48(2):92-94.
[3] 刘铭,刘华超,韩德民,等.鼻及鼻窦的霉菌性疾病[J].耳鼻咽喉-头颈外科,2000,7(3):252-256. LIU Ming, LIU Huachao, HAN Demin, et al. Mold in nasal and sinus disease[J]. Otolaryngol Head Neck Surgery, 2013, 48(2):92-94.
[4] 贾金凡,邢光海,袁龙,等. 鼻内镜下改良双径路治疗真菌性上颌窦炎临床疗效分析[J]. 中华耳鼻咽喉颅底外科杂志,2010,16(3):224-225. JIA Jinfan, XING Guanghai, YUAN Long, et al. Improved double path under endoscope in the treatment of fungal maxillary sinusitis[J]. Chin J Otolaryngol Skull Base Surgery, 2010, 16(3):224-225.
[5] 魏艳艳,赵玉林. 不同径路治疗真菌性上颌窦炎疗效分析[J]. 临床耳鼻咽喉头颈外科杂志,2013,27(2):65-67. WEI Yanyan, ZHAO Yulin. Different path in the treatment of fungal maxillary sinusitis[J]. J Clin Otolaryngol Head Neck Surgery, 2013, 27(2):65-67.
[6] 张健梅,李洁,彭园园,等. 鼻内镜手术治疗非侵袭性真菌性鼻窦炎[J]. 中国耳鼻咽喉头颈外科,2011,18(5):254-256. ZHANG Jianmie, LI Jie, PENG Yuanyuan, et al. Nasal endoscopic surgery for noninvasive fungal sinusitis[J]. Chin Otolaryngol Head Neck Surgery, 2011, 18(5):254-256.
[7] Yoon J H, Na D G, Byun H S, et al. Calcification in chronic maxillary sinusitis:comparison of CT findings with histopathologicresults[J]. Am J Neuroradiol, 1999, 20(4):571-574.
[8] 尹显祥,张珺,张园园. 不同手术入路治疗上颌窦真菌性鼻窦炎94例的临床分析[J].中国耳鼻咽喉颅底外科杂志,2013,19(5):193-195. YIN Xianxiang, ZHANG Jun, ZHANG Yuanyuan. Different surgical approaches for 94 cases of maxillary sinus fungal sinusitis[J]. Chin J Otorhinolaryngol Skull Base Surgery, 2013, 19 (5):193-195.
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