鼻内镜鼻窦手术中不同方法处理上颌窦自然口疗效分析  

Effect analysis of hiatus sinus maxillaris treatment with different methods during nasal endoscope paranasal sinuses operation

作　　者：蒋晋安 郑国玺[2] 徐大道 

机构地区：[1]西安医学院附属医院耳鼻喉科,710077 [2]西安交通大学医学院第二附属医院耳鼻咽喉头颈外科,710003

出　　处：《中国医师进修杂志》2015年第3期189-191,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的 探讨经鼻内镜鼻窦手术中不同方法处理上颌窦自然口与预后的关系.方法 将80例慢性鼻窦炎、鼻息肉患者按随机数字表法分为两组：试验组40例,术中根据上颌窦自然口形态与上颌窦本身的病变情况,扩大或不扩大上颌窦自然口;对照组40例,术中均扩大上颌窦自然口.观察两组上颌窦自然口开放率和术后并发症发生情况.结果 术后随访至少1年,试验组上颌窦自然口开放率明显高于对照组[97.5％（39/40）比77.5％（31/40）],术后并发症发生率明显低于对照组[5.0％（2/40）比27.5％（11/40）],差异有统计学意义（P＜0.01）.结论 鼻内镜鼻窦手术中是否扩大上颌窦自然口,应根据术中具体情况而定,尽可能地减少术中损伤,防止术后上颌窦口闭锁或并发症的发生.Objective To explore the relationship between different treatment methods of hiatus sinus maxillaris during nasal endoscope paranasal sinuses operation and prognosis.Methods Eighty patients with chronic rhinosinusitis and rhinopolyp were divided into observation group and control group byrandom digits table method with 40 cases each.Expanding hiatus sinus maxillaris were given according to the modality of hiatus sinus maxillaris and lesion of maxillaris sinus in observation group.The patients in control group were given expanding hiatus sinus maxillaris.The opening rate of hiatus sinus maxillaris and postoperative complication were observed.Results All the patients were followed up ≥ 1 year.The opening rate of hiatus sinus maxillaris in observation group （97.5%,39/40） was significantly higher than that in control group （77.5%,31/40）,the rate of postoperative complication in observation group （5.0%,2/40） was significantly lower than that in control group （27.5%,11/40）,and there were statistical differences （P 〈 0.01）.Conclusion Whether or not to enlarge hiatus sinus maxillaris during nasal endoscope paranasal sinuses operation should base on intraoperative specific situation,and it can reduce intraoperative injury,prevent the shutting of sinus and postoperative complication.

关 键 词：上颌窦 手术后并发症 鼻内镜 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]