Draf额窦炎性疾病鼻内引流术(附132例报告)  

Draf′s endonasal drainage for inflammatory frontal sinus disease

作　　者：游学俊[1] Wolfgang Draf Ulrike Bockmühl 

机构地区：[1]华中科技大学同济医学院附属同济医院耳鼻咽喉-头颈外科,武汉430030 [2]德国富尔达市立医院耳鼻咽喉-头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2008年第2期78-80,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：教育部留学回国人员科研启动基金资助项目(No:教外司留[2004]176号);湖北省人事厅留学回国人员科技活动择优资助项目(No:鄂人函[2003]136号)

摘　　要：目的：介绍额窦炎性疾病鼻内引流术的类型、适应证、手术方法及疗效。方法：回顾性分析132例采用鼻内进路显微-内镜下行DrafⅠ～Ⅲ型额窦引流术、随访1～12年的患者的临床资料。结果：有效率分别为,Ⅰ型83.4%,Ⅱ型83.7%,Ⅲ型89.4%,3型疗效差异无统计学意义（P〉0.05）。结论：对重症、慢性息肉性鼻窦炎以及经内镜鼻窦手术后仍复发的鼻窦炎患者,鼻内进路显微-内镜下额窦引流术可获得确切疗效。Objective：To introduce endonasal drainage procedures to frontal sinus in inflammatory sinus disease and its indications, methods and efficacy. Method：One hundred thirty two patients undergoing Draf Ⅰ-Ⅲ frontal sinus drainage procedures with 1-12 years follow-up were reviewed retrospectively. Result： Forty two patients underwent type Ⅰ frontal sinusotomy, 43 type Ⅱ sinusotomy and 47 type Ⅲ sinusotomy. A successful result was seen in these groups, 83.4%, 83.7%, and 89.4% respectively. Best effect was gained by type Ⅲ sinusotomy. There was no significant difference in efficacy between the different Draf frontal sinus drainage procedures （ P 〉0.05）. Conclusion：Endonasal microscopic-endoscopic frontal drainage treatment of refractory, polypoid and recurrent frontal sinusitis can yield successful results.

关 键 词：额窦炎 鼻内引流 显微镜 内镜术 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]