影像导航鼻内镜系统在不同慢性鼻窦炎中的应用  

Choice of image guided endoscopic sinus system in different chronic sinusitis

作　　者：李忠万[1] 方红雁[1] 高明华[1] 何丹[1] 李劲松[1] 

机构地区：[1]重庆市第三人民医院耳鼻咽喉头颈外科,400014

出　　处：《重庆医学》2013年第27期3236-3238,共3页Chongqing medicine

基　　金：重庆市卫生局医学科研计划项目(06-8-240)

摘　　要：目的比较影像导航进行慢性鼻窦炎鼻内镜手术与传统鼻内镜手术的疗效和并发症的发生情况。方法选取81例慢性鼻窦炎患者在影像导航下行鼻内镜手术(导航组),与111例慢性鼻窦炎传统鼻内镜手术患者(非导航组)在疗效、并发症等进行比较。结果Ⅰ、Ⅱ型鼻窦炎导航组与非导航组治疗有效率、并发症发生率差异无统计学意义(P>0.05);Ⅲ型鼻窦炎导航组与非导航组有效率、并发症发生率差异有统计学意义(P<0.05)。导航组与非导航组并发症总的发生率比较差异有统计学意义(P<0.05);Haller气房、Onodi气房非鼻丘气房导航组与非导航组有效率比较差异无统计学意义(P>0.05);鼻丘气房额隐窝或额窦区的解剖畸形导航组与非导航组总的有效率比较差异有统计学意义(P<0.05)。结论对于Ⅲ型慢性鼻窦炎、慢性额窦炎患者,应用影像导航鼻内镜手术是合理的选择,能提高手术疗效及精确性,减少并发症的发生。Objective To conduct the endoscopic sinus surgery on chronic nasosinusitis by the image guided navigation system （IGNS） and to analyze the curative effect and complication compared with traditional methods .Methods 81 cases of chronic nasosi-nusitis were randomly selected and performed endoscopic sinus surgery by using IGNS ,and compared with the other 111 cases of chronic nasosinusitis by using traditional nasal endoscopic surgery in the aspects of curative effect ,complications ,etc .Results TypeⅠ and type Ⅱ nasosinusitis had no significant difference in the effective rate between the navigation group and non-navigation group;type Ⅲ nasosinusitis had significant difference in the effective rate between navigation group and non-navigation group .The total incidence rate of complications had significant difference between the navigation group and non-navigation group（P〈0 .05）;the incidence rate of complications in type Ⅰ and type Ⅱ nasosinusitis had no significant difference between the navigation group and the non-navigation group（P〉0 .05）;the incidence rate of complications in type Ⅲ nasosinusitis had significant difference be-tween the navigation group and the non-navigation group with statistical significance （P〈 0 .05）;the effective rates of Haller gas room and Onodi gas rooms showed no significant difference between the navigation group and the non-navigation group （P〉0 .05）;the total effective raates of anatomical deformity of the frontal recess or the sinus area had significant difference between the naviga-tion group and the non-navigation group（P〈0 .05）;the total effective rates of agger nasi cell had significant difference between the navigation group and the non-navigation group （P〈0 .05） ,the total effective rates of non-agger nasi cell had no significant differ-ence between the navigation group and the non-navigation group （P〉0 .05） .Conclusion For the patients with type Ⅲ chronic na-sosinusitis ,chronic frontal sinusitis ,conduct endoscopi

关 键 词：鼻窦炎 内窥镜 外科手术 计算机辅助 

分 类 号：R765[医药卫生—耳鼻咽喉科]