中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
11期
130-131
,共2页
鼻窦炎%真菌性%内镜术
鼻竇炎%真菌性%內鏡術
비두염%진균성%내경술
Fungal%Sinusitis%Endoscope surgery
目的 探讨真菌性鼻窦炎手术方法,根据不同病变范围采用相应的手术径路.临床上达到一次完成.方法 分析18例非侵袭性真菌性鼻窦炎患者的临床表现,结合鼻内镜及CT检查,拟定不同的手术径路,彻底清除鼻腔鼻窦病灶,充分开放鼻窦并定期行鼻内窥镜检查.结果 随访6个月～3年,治愈15例,失访1例,复发2例.复发病例经鼻内窥镜换药,双氧水冲洗窦腔后治愈.结论 鼻内窥镜联合手术治疗真菌性鼻窦炎,病变清除彻底,引流通畅,疗效好.
目的 探討真菌性鼻竇炎手術方法,根據不同病變範圍採用相應的手術徑路.臨床上達到一次完成.方法 分析18例非侵襲性真菌性鼻竇炎患者的臨床錶現,結閤鼻內鏡及CT檢查,擬定不同的手術徑路,徹底清除鼻腔鼻竇病竈,充分開放鼻竇併定期行鼻內窺鏡檢查.結果 隨訪6箇月～3年,治愈15例,失訪1例,複髮2例.複髮病例經鼻內窺鏡換藥,雙氧水遲洗竇腔後治愈.結論 鼻內窺鏡聯閤手術治療真菌性鼻竇炎,病變清除徹底,引流通暢,療效好.
목적 탐토진균성비두염수술방법,근거불동병변범위채용상응적수술경로.림상상체도일차완성.방법 분석18례비침습성진균성비두염환자적림상표현,결합비내경급CT검사,의정불동적수술경로,철저청제비강비두병조,충분개방비두병정기행비내규경검사.결과 수방6개월～3년,치유15례,실방1례,복발2례.복발병례경비내규경환약,쌍양수충세두강후치유.결론 비내규경연합수술치료진균성비두염,병변청제철저,인류통창,료효호.
Objective To explore the surgical methods of fungal sinusitis, according to different extent of the lesion using the appropriate surgical approach. Clinical reached in one step. Methods Knalysis of 18 cases of non-invasive fungal sinusitis in patients with clinical manifestations, combined with nasal endoscope and CT examination,the development of different surgical approaches to remove nasal sinus lesions,fully open sinuses and nasal endoscope on a regular basis. Results Follow-up 6 months to 3 years,were cured,Ⅰ case of cost,recurrence in 2 cases. Endoscope relapse of medication, after the hydrogen peroxide rinse Dousing cured. Conclusion Nasal endoscope and surgical treatment of fungal sinusitis, lesions completely cleared and drainage unobstructed, good curative effect.
