鼻内镜下额窦引流术治疗慢性额窦炎43例临床分析  

Endoscopic frontal sinus drainage for chronic frontal sinusitis analysis(43 cases)

作　　者：应丽韫[1] 朱黎伟[1] 崔佳文[1] 张汉清[1] 朱正华[1] 马兆鑫[1] 

机构地区：[1]同济大学附属东方医院耳鼻咽喉科,上海200120

出　　处：《中国内镜杂志》2011年第6期603-606,共4页China Journal of Endoscopy

摘　　要：目的探讨鼻内镜下额窦引流术治疗慢性额窦炎的方法及疗效。方法回顾性分析43例(78侧)慢性额窦炎患者的临床资料,总结与额窦内镜手术相关的镜下额隐窝解剖特征,介绍鼻内镜下额窦引流术的临床应用效果。结果通过43例(78侧)慢性额窦炎鼻窦CT片统计得出,35侧(44.87%)额窦开口于钩突与中鼻甲之间;43侧(55.13%)额窦开口于钩突和眶纸板之间。根据以上解剖特征分析对这43例患者分别行DrafⅠ型、Ⅱa/b型额窦引流术,有效率分别为Ⅰ型84.21%(32/38),Ⅱa型82.76%(24/29),Ⅱb型90.91%(10/11),疗效差异无显著性(P>0.05)。随访3个月、6个月、1年分别有17侧、19侧和20侧额窦口周围黏膜或骨质出现增生致狭窄或闭锁。结论鼻内镜下额窦引流术对慢性额窦炎有良好疗效。[Objective] To introduce the method and efficacy of the endoscopic frontal sinus drainage in the treatment of chronic frontal sinusitis.[Methods] A retrospective analysis of 43 patients（78 sides） with chronic frontal sinusitis in patients with clinical data,summary and endoscopic frontal sinus surgery related to anatomical characteristics of the frontal recess,endoscopic frontal sinus drainage describes the clinical effect.[Results] CT slices in 43 patients（78 sides） of chronic frontal sinus obtained statistics,35 sides（44.87%） sinus openings in between the middle turbinate and uncinate process.43 sides（55.13%） sinus were open between the uncinate process and the orbital board.Based on the above analysis of anatomical features of these 43 patients were performed Draf Ⅰ type,Ⅱa/b-type frontal sinus drainage,efficiency,respectively,Ⅰ type 84.21%（32/38）,Ⅱ a type 82.76%（24/29）,Ⅱb-type 90.91%（10/11）,the difference had no statistically significant effect（P〉0.05）.More than 1 year after surgery were followed up and found that after 3 months,6 months and 1 year were 17 sides,19 sides and 20 sides around the frontal sinus ostium mucosa or bone appeared hyperplasia to cause stenosis or atresia.[Conclusion] Endoscopic sinus drainage has a good effect for the treatment of chronic frontal sinusitis.

关 键 词：鼻内镜 慢性额窦炎 Draf 引流术 

分 类 号：R765.43[医药卫生—耳鼻咽喉科]