CAJ | 학술논문

目的探索鼻内镜下改良鼻丘入路治疗额窦病变的手术方法.方法从2009年1月开始前瞻性收集中山大学附属第一医院住院行鼻内镜下改良鼻丘入路额窦手术的患者资料,包括一般情况、术中所见、术后症状、内镜检查结果及术后并发症情况.结果从2009年1月到2010年8月共进行了19例改良鼻丘入路额窦手术,其中慢性鼻-鼻窦炎17例,13例(76.5%)痊愈,3例(17.6%)好转,总有效率为94.1%,1例(5.9%)无效;额窦前筛内翻性乳头状瘤2例,治疗后痊愈.随访6～24个月,中位数随访时间16个月.无严重并发症发生,无术后额隐窝粘连,4例额隐窝组织增生、狭窄.结论鼻内镜下改良鼻丘入路术中对额隐窝和额窦的暴露较好,术野宽敞,术后粘连少,额窦引流通畅,疗效确切.
목적 탐색비내경하개량비구입로치료액두병변적수술방법.방법 종2009년1월개시전첨성수집중산대학부속제일의원주원행비내경하개량비구입로액두수술적환자자료,포괄일반정황、술중소견、술후증상、내경검사결과급술후병발증정황.결과 종2009년1월도2010년8월공진행료19례개량비구입로액두수술,기중만성비-비두염17례,13례(76.5%)전유,3례(17.6%)호전,총유효솔위94.1%,1례(5.9%)무효;액두전사내번성유두상류2례,치료후전유.수방6～24개월,중위수수방시간16개월.무엄중병발증발생,무술후액은와점련,4례액은와조직증생、협착.결론 비내경하개량비구입로술중대액은와화액두적폭로교호,술야관창,술후점련소,액두인류통창,료효학절.
Objective To explore the feasibility of endoscopic modified agger nasi approach for the surgical treatment of frontal sinus diseases. Methods The data of patients undergoing modified agger nasi approach for frontal diseases were prospecitvely collected since January 2009, including demographic data,findings at surgery, presence of postoperative symptoms, endoscopic appearance of the frontal recess and sinus, and complications. Results Nineteen patients were enrolled from January 2009 to August 2010.Seventeen patients had chronic rhinosinusitis, in which 13 patients (76. 5% ) completely healed, 3 patients ( 17. 6% ) improved and 1 patient (5. 9% ) failed Two patients had frontal sinus and anterior ethmoid sinus inverted papilloma, with no recurrence. The patients were followed up from 6 to 24 months, medium 16 months. No severe complication occurred. No frontal recess adhesion was found. Four sides of frontal recess showed stenosis caused by tissue hypertrophy. Conclusion The modified agger nasi approach provides excellent access to frontal recess and frontal sinus, with good effect for preventing re-stenosis after surgery.