鼻内镜下脑棉辅助上颌窦真菌球清除术  

Brain cotton technique in endoscopic middle meatus antrostomy for removing maxillary fungus ball

作　　者：刘翔[1] 陈秋坚[1] 邹华[1] 丁健慧[1] 

机构地区：[1]中山大学孙逸仙纪念医院耳鼻咽喉科,广州510120

出　　处：《山东大学耳鼻喉眼学报》2013年第1期38-40,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨鼻内镜下中鼻道上颌窦开窗术治疗上颌窦真菌球的一种技术改良—脑棉辅助清除的方法及其在临床中的应用价值。方法 16例上颌窦真菌球患者均采用鼻内镜下中鼻道上颌窦开窗术,分成脑棉技术组和非脑棉技术组。比较两组病例的手术时间和术后并发症及复发情况。结果脑棉技术组6例,手术时间40～60 min,平均(51±9)min,术后定期鼻内镜随访12个月,无残留或复发,主诉无不适。非脑棉技术组10例,有5例同时采用下鼻道开窗辅助,手术时间30～100min,平均(74±25)min,术后鼻内镜随访6～20个月,无残留或复发,术后有2例发生鼻腔粘连,于门诊处理。结论脑棉技术能够辅助鼻内镜下中鼻道上颌窦开窗术完全清除上颌窦真菌球,该法操作简单、器械易得、损伤小、术后效果好,值得在临床中推广。Objective To investigate the effect of brain cotton technique in endoscopic middle meatus antrostomy for removing maxillary fungus ball. Methods 16 cases of maxillary fungusl balls were randomly divided into two groups ： the brain cotton technique group and the non-brain cotton technique group. The surgical time, post-operative complica- tions and recurrence were compared between the two groups. Results 6 patients were enrolled in the brain cotton group and were performed operations from 40min to 60min with an average of 51min. Followed up by endoscopy in 12 months, no one had post-operative complications or recurrence. 10 patients were enrolled in the non-brain cotton tech- nique group, 5 of whom had inferior meatus antrostomy and were performed operations from 30 min to lO0 min with an average of 74 rain. Followed up by endoscopy for 6 months to 20 months, no one had recurrence. 2 patients had nasal adhesion and were cured by endoscopy in outpatient. Conclusion Maxillary fungus ball can be cured just through en- doscopic middle meatus antrostomy assisted by the brain cotton technique. It is simple and convenient with little damage and good result and can be widely applied in clinic.

关 键 词：真菌球 上颌窦 鼻内镜外科手术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]