鼻内镜手术中额窦口的处理  

Treatment of frontal sinus ostium in endoscopic sinus surgery

作　　者：孙凤新[1] 李海洋[1] 崔志春[1] 刘勇[1] 

机构地区：[1]首都医科大学大兴医院耳鼻咽喉头颈外科,北京102600

出　　处：《中国耳鼻咽喉头颈外科》2009年第5期267-268,共2页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨在鼻内镜手术中额窦口处理时的手术技巧。方法回顾分析我院2004年9月～2007年12月间连续607例(1021侧)鼻内镜手术,其中84例(147侧)有额窦病变,接受了DrafIIa型额窦开放术,术后随访7～40个月。结果84例(147侧)患者中,额窦口引流通畅的58例(102侧,69%),改善16例(28侧,19%),无效10例(17侧,12%)。结论内镜下额窦开放术是治疗慢性额窦炎的有效方法,对于额窦内受累的患者,采用DrafIIa型额窦开放术能够很好的解决额窦口引流问题,有助于恢复额窦正常功能。OBJECTIVE To assess the skills and key points with frontal ostium in Draf Ila endoscopic frontal sinus surgery. METHODS We retrospectively reviewed 607 cases of patients who underwent endoscopic sinus surgery between September, 2004 and December, 2007, 84 cases （147 sides） of patients who underwent Draf Ila endoscopic frontal sinus surgery. The period of follow-up were 7 to 40 months. RESULTS All of 84 cases （147 sides） of patients, frontal ostium drainage was restored in 58 cases （102 sides, 69%） , improved in 16 cases （28 sides, 19 percent）, invalid in 10 cases （17 sides, 12%） . CONCLUSION Endoscopic sinus surgery is an effective way for the treatment of chronic frontal sinusitis. Draf Ha endoscopic frontal sinus surgery is an easy and useful technique to restore the drainage of frontal ostium.

关 键 词：额窦 内窥镜检查 耳鼻喉外科手术 解剖 

分 类 号：R765.9[医药卫生—耳鼻咽喉科] R657.4[医药卫生—临床医学]