中、下鼻道联合开窗术与中鼻道开窗术治疗非侵袭型真菌性上颌窦炎效果评价  

Effect evaluations of middle and inferior nasal meatus combined fenestration and middle nasal meatus fenestration in non-invasive fungal maxillary sinusitis

作　　者：黄继章 叶发校 葛平江[2] 

机构地区：[1]广东省阳江市中医医院耳鼻喉科,广东阳江529500 [2]广东省人民医院耳鼻喉科,广东广州510080

出　　处：《中国当代医药》2013年第15期167-168,共2页China Modern Medicine

摘　　要：目的评价中、下鼻道联合开窗术与中鼻道开窗术治疗非侵袭型真菌性上颌窦炎的疗效。方法选择本科2007年1月～2011年12月被诊断为非侵袭型真菌性上颌窦炎51例患者临床资料,根据治疗方法不同分为两组,A组26例采用鼻内镜中、下鼻道联合开窗术式;B组25例采用鼻内镜中鼻道开窗术式。结果术后随防1年评定疗效,A组治愈25例,复发1例,治愈率为96.2%;B组治愈23例,复发2例,治愈率为92.0%。结论鼻内镜中、下鼻道联合开窗术与中鼻道开窗术是治疗非侵袭性真菌性上颌窦炎的主要手段,疗效肯定、创伤小、术后复发率低;而且中、下鼻道联合开窗术式比单纯中鼻道开窗术式疗效更佳。Objective To evaluate the effects of non-invasive fungal maxillary sinusitis （NIFMS） treated by middle and inferior nasal meatus combined fenestration and middle nasal meatus fenestration respectively. Methods Clinical data from 51 patients diagnosed as NIFMS in our department from January 2007 to December 2011 were divided into two groups based on different therapeutic methods. In group A, 26 patients were provided with middle and inferior nasal meatus combined fenestration under nasal endoscopy, while 25 participants in group B were treated by middle nasal meatus fenestration under nasal endoscopy. Results The effect was assessed after 1-year follow-up visit. In group A, 25 patients were cured, accounted for 96.2%, there was only 1 case recurred. In group B, 23 cases were cured, and 2 cases relapsed, the cure rate was 92.0%. Conclusion Both middle and inferior nasal meatus combined fenestration and middle nasal meatus fenestration are the main therapeutic methods to treat NIFMS, which have the advantages of defi- nite effect, little invasion, and low postoperative recurrence rate. What＇s more, the curative effect in the former is better than that in the latter.

关 键 词：鼻内镜 中、下鼻道 联合开窗 非侵袭型真菌性上颌窦炎 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]