经鼻内镜中下鼻道联合开窗术治疗真菌性上颌窦炎.docVIP

精品论文 参考文献 经鼻内镜中下鼻道联合开窗术治疗真菌性上颌窦炎 程华中 吴沭城 岳苏苏 　　【摘 要】 目的 探讨经鼻内镜中下鼻道联合开窗术治疗真菌性上颌窦炎的临床疗效。方法 总结本科2011年3月-2015年9月收治的57例真菌性上颌窦炎的临床资料，分析其临床表现、CT表现、手术方法及疗效。结果 全部病例术后6个月进行评价，经鼻内镜中鼻道上颌窦造口术治疗真菌性上颌窦炎37例，其中复发4例，迁延性炎症8例，窦口狭窄3例，治愈率（89.19%）。经鼻内镜中下鼻道联合开窗术20例，复发1例，开窗口闭锁1例，治愈率（95%），两组有统计学差异。结论 经鼻内镜中下鼻道联合开窗术是治疗真菌性上颌窦炎的一种方便有效的手术途径，并发症少，治愈率高，值得在基层医院推广。 　　【关键词】 真菌性上颌窦炎； 鼻内镜； 下鼻道开窗 　　Middle and inferior meatus combined fenestration operation under nasal endoscopic in treatment of fungal maxillary sinusitis Cheng hua-zhong Wu Shu Cheng Yue Su Su 　　【Abstract】objective To investigate the therapeutic effect of the middle and inferior meatus combined fenestration operation under nasal endoscopic in treatment of fungal maxillary sinusitis (FMS). Methods From March 2011 to September 2015, clinical of data of 57 with FMS in the office were summarized, and analysed the clinical manifestation, CT characteristic, surgical method and effect. Results Of all the cases were estimated 6 months after the surgery, 37 cases with FMS were treated by the middle meatus maxillary fenestration operation under nasal endoscopic, 4 cases showed recurrence, 8 cases showed protracted inflammation, 3 cases showed sinus stenosis, the cure rate (89.19%) among them. However, 20 cases were treated by middle and inferior meatus combined fenestration operation under nasal endoscopic, 2 cases showed recurrence and windowing atresia respectively, the cure rate (95%) among them,which had significant difference between two groups. Coclusions Middle and inferior meatus combined fenestration operation under nasal endoscopic is conwenient and effective operation, few complication, high cure rate. It is worth popularizing in basic-level hospitals. 　　【Key words】 fungal maxillary sinusitis; nasal endoscopic; inferior nasal meatus fenestration 　　真菌性鼻窦炎是耳鼻咽喉头颈外科临床中较为常见的疾病，其发病率有逐渐增加的趋势，可能与患者抗生素和激素的广泛应用，以及患者合并的一些基础疾病有关。 目前随着对该病认识的深入，在临床上有着更新的观点，治疗技术上也在不断提高。自2011年3月-2015年9月，我科共收治57例单侧的真菌性上颌窦炎，经手术治疗后取得了较好的疗效，现将病例资料