纤维喉镜联合鼻内镜行上颌窦囊肿摘除术与单纯鼻内镜手术的临床疗效比较  

The clinical curative effect comparison between the nasal endoscopic combined with fiber laryngoscope and nasal endoscopic surgery treatment for maxillary sinus cyst

作　　者：李海霞[1] 

机构地区：[1]河南省商丘市第一人民医院耳鼻喉科,476100

出　　处：《中国医师进修杂志》2013年第21期32-34,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 比较纤维喉镜联合鼻内镜与单纯鼻内镜行上颌窦囊肿摘除术治疗上颌窦囊肿的临床疗效.方法 将124例上颌窦囊肿患者按随机数字表法分为观察组和对照组,每组62例.观察组患者采用纤维喉镜联合鼻内镜行上颌窦囊肿摘除术,对照组患者采用单纯鼻内镜行上颌窦囊肿摘除术.比较两组患者疗效及手术并发症.结果 观察组总有效率明显高于对照组[96.77％（60/62）比80.65％（50/62）],总手术并发症发生率明显低于对照组[9.68％（6/62）比61.29％（38/62）],差异均有统计学意义（P＜0.01）.结论 纤维喉镜联合鼻内镜行上颌窦囊肿摘除术治疗上颌窦囊肿具有操作简便、创伤小,可弥补单纯鼻内镜手术治疗的不足,其疗效和术后并发症均优于单纯鼻内镜手术.Objective To compare the clinical curative effect of the nasal endoscopic combined with fiber laryngoscope and nasal endoscopic surgery treatment for maxillary sinus cyst.Methods One hundred and twenty-four patients with maxillar sinus cyst,were divided into two groups by random digits table：observation group and control group,each group with 62 cases.The observation group was given the nasal endoscopic combined with fiber laryngoscope maxillar sinus cyst enucleation,control group was given simple nasal endoscopic surgery.The therapeutic effect and the postoperative complications were compared.Results The rate of total effective in observation group was significantly higher than that in control group [96.77% （60/62） vs.80.65% （50/62）,P 〈0.01].The rate of complications in observation group was significantly lower than that in control group [9.68%（6/62） vs.61.29%（38/62）,P 〈0.01].Conclusion The nasal endoscopic combined with fiber laryngoscope for treating maxillar sinus cyst is a simple operation,small trauma,which can make up the shortage of the endoscopic sinus surgery,its clinical effect and thepostoperative complications are better than nasal endoscopic treatment.

关 键 词：内窥镜 喉镜 上颌窦囊肿 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]