不同径路治疗真菌性上颌窦炎疗效分析  

Analysis on therapeutic efficacy of different approaches for treating fungal maxillary sinusitis

作　　者：魏艳艳[1,2] 赵玉林[1] 张世涛[1] 张远[1] 程慧娟[1] 

机构地区：[1]郑州大学第一附属医院鼻科,郑州450052 [2]郑州市儿童医院耳鼻咽喉科,郑州450052

出　　处：《临床耳鼻咽喉头颈外科杂志》2013年第2期65-67,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:比较2种不同入路鼻内镜手术治疗真菌性上颌窦炎的疗效。方法:取鼻内镜联合尖牙窝小视窗双径路手术治疗真菌性上颌窦炎(25例)作为治疗组,单纯鼻内镜下手术治疗真菌性上颌窦炎(25例)作为对照组,比较2组术后疗效。结果:随访1～2年,双径路手术治疗真菌性上颌窦炎疗效优于单纯鼻内镜手术,2组比较差异有统计意义(χ2=4.268,P<0.05)。结论:鼻内镜联合尖牙窝小视窗双径路治疗真菌性上颌窦炎能充分暴露上颌窦窦腔,彻底清除病变,改变窦腔低氧环境,保留上颌窦窦腔黏膜的正常生理功能,真正达到治愈和微创的目的。Objective：To compare the response of simple endoscopic surgery and endoscopic surgery plus small windows through canine fossa surgery for fungal maxillary sinusitis. Method：Twenty-five patients were applied the endoscopic surgery plus small windows through Canine fossa surgery as the treatment group,and the other 25 were applied the simple endoscopic surgery as control. Result： During a follow up for 1- 2 years, the effect of fungal maxillary sinusitis under endoscopic by dual approach is superior to simple endoscopic. There were obvious differ- ences between the two groups（x^2 = 4. 268, P〈0.05）. Conclusion：Endoscopic surgery plus small windows through canine fossa surgery for fungal maxillary sinusitis can fully expose maxillary sinus cavity,destroy the abnormal tissues completely, change the low oxygen environment, ensure the normal physiological function of maxillary sinus mucosa, and really achieve radical minimally invasive purpose.

关 键 词：真菌性 双径路 鼻内镜术 上颌窦炎 

分 类 号：R736.4[医药卫生—肿瘤]