内镜鼻窦手术加柯-陆手术治疗慢性鼻窦炎疗效观察  

Endoscopic and Caldwell-Luc approaches for treatment of chronic sinusitis

作　　者：宋学章[1] 范锦剑 朱丽芳[1] 

机构地区：[1]上海市中西医结合医院耳鼻咽喉科,200082 [2]浙江省嘉善县丁栅镇卫生院耳鼻咽喉科,314107

出　　处：《蚌埠医学院学报》2006年第2期150-151,共2页Journal of Bengbu Medical College

摘　　要：目的：探讨慢性鼻窦炎的有效手术方法。方法：分组比较经上颌窦筛窦切除术（Lima’s operation）38例、内镜鼻窦手术（endoscopic sinus surgery，ESS）31例以及内镜鼻窦手术加柯-陆（Caldwell-Luc）手术27例的手术效果。结果：术后随访12-24个月。Lima术式治愈36．84％，好转52．63％，无效10．53％；ESS术式治愈51．61％，好转38．71％，无效9．68％；ESS加Caldwell-Luc术式治愈77．78％，好转14．81％，无效7．41％。三者比较差异有显著性（P〈0．005）。结论：ESS加Caldwdl-Luc术式可彻底清除颌筛窦内病灶，通畅各窦口引流，更好地恢复鼻腔、鼻窦功能。Objective：To investigate the surgical principle of chronic sinusitis. Methods： he effect of three surgical procedures was compared. Transmaxillary sinus ethmoidectomy（Lima＇ s operation） was performed on 38 cases, endoscopic sinus surgery（ESS） on 31 cases and endoscopic plus Caldwell-Luc sinus surgery on 27 cases. Results ：All the cases were followed up from 12 months to 24 months postoperatively. In the Lima＇ s operation group,36.84% of the patients were cured ,52.63% improved and 10.53% had no response; in the ESS group,51.61% of the patients were cured,38.71% improved and 9.68% had no response; in the endoscopic plus Caldwell-Lue sinus surgery group,77.78% of the patients were cured, 14. 81% improved and 7.41% failed to respond. The difference was significant. Condusions： The approach of endoscopic plus Caldwell-Luc sinus surgery can remove the focus completely, clear the drainage thoroughly and resume the functions of nose and sinuses better.

关 键 词：鼻窦炎 经上颌窦筛窦切除术 内镜鼻窦手术 柯-陆手术 

分 类 号：R765.41[医药卫生—耳鼻咽喉科]