不同术式治疗真菌性上颌窦炎的临床比较  

A clinical comparison of different surgical procedures for fungal maxillary sinusitis

作　　者：吴广荣[1] 李小敏[1] 

机构地区：[1]深圳市龙岗区横岗人民医院,518115

出　　处：《国际医药卫生导报》2013年第3期378-380,共3页International Medicine and Health Guidance News

摘　　要：目的对比传统上颌窦根治术（柯一陆氏手术）与鼻内镜下上颌窦自然口扩张联合下鼻道开窗术治疗非侵袭性真菌性上颌窦炎的临床疗效。方法回顾性分析本院以往采取柯一陆氏手术治疗的29例患者作为对照组，以本院采取鼻内镜下上颌窦自然El扩张联合下鼻道开窗术治疗的38例患者作为观察组，对比两组临床疗效。结果观察组治愈率（57．89％）与总有效率（94．74％）均明显高于对照组（31．03％，72．41％），P〈0．05；观察组复发率（2．63％）明显低于对照组（20．69％），P〈0．05。结论鼻内镜下上颌窦自然口扩张联合下鼻道开窗术治疗非侵袭性真菌性上颌窦炎疗效确切、手术创口小、术后易恢复、复发率低，可于临床治疗中广泛应用。Objective To compare the clinical efficacy of traditional radical maxillary surgery （Ke-Lu procedure） and intranasal endoscopic maxillary sinus natural dilation combined with fenestration of inferior meatus in the treatment of fungal maxillary sinusitis. Methods 29 patients who had undergone Ke-Lu procedure were enrolled in a control group, whild 38 patients who had received endoscopic maxillary sinus natural dilation combined with fenestration of inferior meatus were included in a study group. The clinical efficacy was compared between the two groups. Results The cure rate and the total effectiveness rate were significantly higher in the study than in the control group （P〈 0.05 ）. The recurrence rate was markedly lower in the study group than in the control group （P〈 0.05 ）. Conclusions Intranasal endoscopic maxillary sinus natural dilation combined with fenestration of inferior meatus is efficacious in the treatment of fungal maxillary sinusitis. Patients have smaller surgical wounds with quicker postoperative recovery and have a lower rate of recurrence. The procedure is worth popularizing clinically.

关 键 词：真菌性上颌窦炎 柯-陆氏手术 鼻内镜 上颌窦开放术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]