可调节探钩在高血压患者真菌性上颌窦炎手术中的应用  

The adjustable hook in treating fungal maxillary sinusitis patients with hypertension

作　　者：宋伟 沈志豪 金晓杰[2] 吴素娟 

机构地区：[1]上海市嘉定区中心医院耳鼻咽喉科,上海市201800 [2]上海交通大学附属仁济医院耳鼻咽喉科

出　　处：《中国心血管病研究》2014年第3期210-212,共3页Chinese Journal of Cardiovascular Research

基　　金：上海市嘉定区卫生局科研项目（项目编号：KYXM-2013-KY-20）

摘　　要：目的 探讨鼻内镜下应用可调节探钩治疗高血压患者真菌性上颌窦炎的疗效.方法 随机将63例非侵袭性真菌性上颌窦炎高血压患者分为两组：A组32例,采用鼻内镜下中鼻道径路结合术中应用可调节探钩径路治疗;B组31例,采用鼻内镜下经中、下鼻道联合径路治疗.术后随访半年,比较两组疗效,同时观察患者术后舒适程度及血压波动情况.结果 A组治愈31例,治愈率96.9％;B组治愈29例,治愈率93.5％.A组术后反应轻,不适程度小,血压波动小;B组术后反应重,疼痛显著,血压波动大,两组比较差异有统计学意义（P＜0.05）.结论 相比较经鼻内镜下中、下鼻道联合径路,鼻内镜下中鼻道径路结合术中应用可调节探钩治疗高血压患者真菌性上颌窦炎具有血压波动小、疼痛轻、出血少、创伤小、恢复快的优点,符合微创理念,值得临床推广.Objective To investigate the curative effect of endoscopic operation combined with adjustable hook in the treatment of fungai maxillary sinusitis patients with hypertension.Methods 63 noninvasive fungal maxillary sinusitis patients with hypertension were randomly divided into two groups,group A with 32 patients,operating through middle nasal meatus combined with adjustable hook under intranasal endoscope,group B with 31 patients,operating through middle and inferior nasal meatus under intranasal endoscope.All cases were followed up and compared curative effect of the two groups,observed the patients＇ comfort level and blood pressure fluctuations.Results In group A：cure 31 cases,recurrence 1 case,the cure rote was 96.9％.In group B：cure 29 cases,recurrence 2 cases,the cure rote was 93.5％.Compared with group B,group A had a minor postoperative reaction,less discomfort and less fluctuation in blood pressure.The two groups was statistically significant （P＜0.05）.Conclusion In the treatment of fungal maxillary sinusitis patients with hypertension,endoscopic operation through middle nasal meatus combined with adjustable hook had advantages of minor postoperative reaction,less.fluctuation in blood pressure,less pain,less bleeding,less trauma,quicker recovery rate,compared with endoscopic operation through middle and inferior nasal meatus.That is consistent with the concept of minimally invasive,and worth for spreading in clinical practice.

关 键 词：高血压 真菌性疾病 上颌窦炎 鼻内镜外科手术 

分 类 号：R654.2[医药卫生—外科学]