上颌窦支架的临床应用  

Clinical application of maxillary sinus stent

作　　者：葛荣[1] 吴雄[1] 汪守峰[1] 王昌成[1] 

机构地区：[1]淮安市第二人民医院介入中心,江苏223002

出　　处：《放射学实践》2003年第3期177-178,共2页Radiologic Practice

摘　　要：目的 :采用中鼻道上颌窦造口术后放置引流支架治疗慢性鼻窦炎 ,观察其疗效 ,并与单纯行中鼻道上颌窦造口术疗效作对照。方法 :采用Z型不锈钢丝为骨架、两面覆盖硅橡胶薄膜的卷曲型支架。在鼻内窥镜直视下放置支架 ,并摄片观察支架的位置和形态。结果 :17例共放置 2 3个支架 ,随访显示上颌窦引流通畅 ,慢性炎症均治愈。 6个月后支架均被取出 ,再随访 4～ 6个月 ,上颌窦口开放良好 ,效果明显优于单纯中鼻道上颌窦口造术。结论 :中鼻道上颌窦造口术结合支架引流治疗慢性鼻窦炎较单纯造口术术后处理简便 ,引流效果好 ,治愈率较高。Objective:To evaluate the curative effect of drain stenting following endoscopic sinus surgery in treatment of chronic sinusitis in comparison with that of endoscopic sinus surgery alone.Methods:Maxillary sinus stent was made of stainless steel in shape of Z and bilaterally covered with silicon membrane.It was implanted with the aid of nasoscope and underwent X rays filming to observe its position and shape.Results:23 stents in 17 cases were successfully implanted and followed up to demonstrate the patency of the drainage of maxillary sinus.The chronic sinusitis was cured and 23 draining stents were removed 6 months later poststenting,then 4～6 months were followed up to observe the patency of the maxillary sinus.Conclusion:Endoscopic sinus surgery combined with drain stenting to treat chronic sinusitis is more effective than simple endoscopic sinus surgery.The operation is easy,safe and obviously effective in drainage with high cure rate.

关 键 词：慢性上颌窦炎 上颌窦造口术 支架 

分 类 号：R765.42[医药卫生—耳鼻咽喉科]