改良鼻内镜下蝶窦开放术在孤立性真菌性蝶窦炎治疗中的应用  

The therapeutic application of the improved nasal endoscopic sphenoidotomy in isolated fungal sphenoiditis

作　　者：吴陆敬 罗思娟 毛逸飞 何利兴 姜万富 李仕忠 王德雄 

机构地区：[1]广东省东莞市黄江镇黄江医院耳鼻咽喉头颈外科,广东东莞523750

出　　处：《赣南医学院学报》2015年第3期385-387,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨改良鼻内镜下蝶窦开放术在孤立性真菌性蝶窦炎治疗中的应用。方法:选取34例临床诊断为孤立性真菌性蝶窦炎患者。采用随机数字表法分为改良组(17例)和传统组(17例)。改良组采用改良鼻内镜下蝶窦开放术,传统组采用传统鼻内镜下蝶窦开放术。记录分析术中出血量、手术时间、术中并发症、术后窦口上皮化时间及治愈率。结果:改良组窦口上皮化时间显著短于传统组(P<0.001)。改良组治愈率高于传统组(P<0.05),两组患者的术中出血量、手术时间的差异均无统计学意义(P>0.05)。结论:改良鼻内镜下蝶窦开放术治疗孤立性真菌性蝶窦炎可提高治愈率,缩短术后恢复时间,值得推广。Objective：To explore the therapeutic application of the improved nasal endoscopic sphenoidotomy in isolated fungal sphenoiditis. Methods：34 cases with clinically diagnosed isolated sphenoid sinusitis were included in the study. They were divided into improved group （ 17 cases） and conventional group （ 17 cases ） by random sampling. Improved group adopted a modified nasal endoscopic sphenoidotomy while traditional group used the conventional endoscopic sphenoidotomy. Recording and analyzing intraoperative blood loss, operative time, intraoperative complications, postoperative ostium epithelization time and cure rate. Results ： Ostium epithelialization time of the improved group was significantly shorter than that of the conventional group （P 〈 0.001 ）. Cure rate of the improved group was higher than that of the conventional group（ P 〈 0.05 ）. There were no significant differences of both intraoperative blood loss and the surgery time between the two groups. Conclusions：Therapeutic application of the improved nasal endoscopic sphenoidotomy in isolated fungal sphenoiditis improved the cure rate and shortened postoperative recovery time, thus deserves to spread.

关 键 词：真菌性蝶窦炎 鼻内镜 蝶窦开放术 

分 类 号：R765.44[医药卫生—耳鼻咽喉科]