鼻内镜下额窦开放术治疗慢性额窦炎  

Intranasal frontal sinusotomy under nasal endoscope for chronic frontal sinusitis

作　　者：沈昌德[1] 王文[1] 黄静江[1] 王传喜[1] 

机构地区：[1]皖南医学院附属弋矶山医院耳鼻咽喉科,安徽芜湖241001

出　　处：《皖南医学院学报》2013年第4期307-308,共2页Journal of Wannan Medical College

摘　　要：目的:探讨鼻内镜下以钩突上端为标志开放额窦在治疗慢性额窦炎中的应用方法。方法:总结88例慢性额窦炎在鼻内镜下以钩突上端为标志开放额窦。术前仔细阅读鼻窦CT,了解额窦、额隐窝气房发育及病变情况、钩突附着方式,术中以钩突上端为标志准确定位额窦口,清除阻塞额窦口的病变组织,使额窦引流通畅。结果:88例以钩突上端为标志均成功找到额窦开口。术后随访6～12个月,全部病例症状消失或改善,无术后严重并发症发生。结论:鼻内镜下以钩突上端为标志开放额窦是一种解剖结构易辨认、安全有效的术式,适用于大多数额窦病变。Objective： To explore the treatment methods for chronic frontal sinusitis by using the mark access of superior attachment of the uncinate process to the frontal sinus.Methods： Eighty-eight patients with chronic frontal sinusitis undergone frontal sinus surgery were included.Before procedure,nasal CT findings were examined in great detail to fully understand the structure and lesion condition of the frontal sinus and frontal recess cell as well as the attachment of the uncinate process.Intranasal frontal sinusotomy was performed by referring to the tip attachment of the unicinate process,with removal of the diseased tissues around the aperture of frontal sinus to ensure open frontal sinus drainage.Results： Opening of the frontal sinus was successfully anchored in the total 88 cases by the approaches described above.Postoperative follow-up from 6 to 12 months showed that all patients had recovered or had partial relief,and no serious postoperative complications occurred.Conclusion： Intranasal frontal sinusotomy under endoscope starting with the superior attachment of the uncinate process ensures easy recognition of the anatomical characteristics of the frontal sinus and safe procedure,which may be recommendation in most lesions at the frontal sinus.

关 键 词：鼻内镜 钩突 额窦 耳鼻喉科学 手术 

分 类 号：R765.43[医药卫生—耳鼻咽喉科]