慢性鼻窦炎鼻内镜下上颌窦自然开口的处理  

Management of the ostia of maxillary sinus in endoscopic sinus surgery

作　　者：徐彧[1] 李佩忠[1] 王君影[1] 

机构地区：[1]南京医科大学附属淮安市第一人民医院耳鼻咽喉头颈外科,淮安市223300

出　　处：《江苏医药》2011年第24期2948-2949,共2页Jiangsu Medical Journal

摘　　要：目的探讨慢性鼻窦炎上颌窦窦口不同处理方式的治疗效果。方法 110例慢性鼻窦炎及鼻息肉患者随机分成两组:治疗(A)组60例,清除中鼻道病变及异常结构,但不扩大上颌窦自然开口;对照(B)组50例,术中切除中鼻道病变及异常结构的同时扩大上颌窦自然开口。术后随访半年以上。结果两组病例治愈率相仿(90.0%vs.80.0%)(P>0.05);A组上颌窦窦口瘢痕粘连发生率明显低于B组(3.3%vs.16.0%)(P<0.05)。结论慢性鼻窦炎及鼻息肉手术中主要清除窦口周围异常结构及病变;若上颌窦开口无明显狭窄,则不必扩大处理。Objective To investigate the outcomes of managing the ostia of the maxillary sinus in endoscopic sinus surgery.Methods A total of 110 cases with chronic maxillary sinusitis and nasal polyp was randomly divided into 2 groups.The ostia of the maxillary sinus in group A（60 cases） was not broadened and that in group B（50 cases） was broadened during operation.Results The cure rate of group A was similar to that of group B（90.0% vs.80.0%）（P0.05）.But the incidence of maxillary sinus adhesion was lower in group A than that in group B（3.3% vs.16.0%）（P0.05）.Conclusion The key point in endoscopic surgry for the maxillary sinus is cleanout of the abnormal tissues around the ostia rather than to broaden it as long as the ostia has no remarkable stenosis.

关 键 词：鼻窦炎 上颌窦 鼻内镜 

分 类 号：R765[医药卫生—耳鼻咽喉科]