双侧扩大蝶窦成形术治疗难治性蝶窦炎的临床分析  

Clinical analysis on treatment of refractory sphenoid sinusitis by expanding bilateral sphenoid sinus plasty

作　　者：程友[1] 薛飞[1] 王天友[1] 陈伟[1] 季俊峰[1] 王志颐[1] 许莉[1] 

机构地区：[1]南京军区南京总医院耳鼻咽喉头颈外科,江苏南京210002

出　　处：《中国耳鼻咽喉颅底外科杂志》2016年第4期310-313,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨双侧扩大蝶窦成形术治疗难治性蝶窦炎的手术适应证、手术方法及术后疗效。方法对收治的难治性蝶窦炎采用双侧扩大蝶窦成形术,术后随访观察患者的临床疗效。结果 6例诊治的难治性蝶窦炎患者术后头痛、头闷胀感等临床就诊症状均明显缓解,未发生动脉性鼻出血及鼻中隔穿孔等并发症,术后所有患者术腔黏膜均上皮化良好,黏膜完全上皮化时间平均8.4周。结论采用双侧扩大蝶窦成形术治疗难治性蝶窦炎,效果良好,是一种值得推广的手术方法。Objective To explore the surgical indication,method and postoperative curative effect of the expanding bilateral sphenoid sinus plasty in the treatment of refractory sphenoid sinusitis. Methods 6 patients suffering from refractory sphenoid sinusitis received expanding bilateral sphenoid sinus plasty and were followed up to observe the curative effect. Results Symptoms including headache and head fullness were relieved after operation in all the 6 cases. No complications such as arterial nasal bleeding and perforation of nasal septum occurred. Good epithelization was achieved in all the patients with an average epithelization time of 8. 4 weeks. Conclusion With good curative effect,the expanding bilateral sphenoid sinus plasty is a procedure worthy of promotion in the treatment of refractory sphenoid sinusitis.

关 键 词：蝶窦成形术 难治性蝶窦炎 手术适应证 手术方法 术后疗效 

分 类 号：R765.44[医药卫生—耳鼻咽喉科]