CAJ | 학술논문

目的比较影像导航进行慢性鼻窦炎鼻内镜手术与传统鼻内镜手术的疗效和并发症的发生情况。方法选取81例慢性鼻窦炎患者在影像导航下行鼻内镜手术（导航组），与111例慢性鼻窦炎传统鼻内镜手术患者（非导航组）在疗效、并发症等进行比较。结果Ⅰ、Ⅱ型鼻窦炎导航组与非导航组治疗有效率、并发症发生率差异无统计学意义（P＞0．05）；Ⅲ型鼻窦炎导航组与非导航组有效率、并发症发生率差异有统计学意义（P＜0．05）。导航组与非导航组并发症总的发生率比较差异有统计学意义（P＜0．05）；Haller气房、Onodi气房非鼻丘气房导航组与非导航组有效率比较差异无统计学意义（P＞0．05）；鼻丘气房额隐窝或额窦区的解剖畸形导航组与非导航组总的有效率比较差异有统计学意义（P＜0．05）。结论对于Ⅲ型慢性鼻窦炎、慢性额窦炎患者，应用影像导航鼻内镜手术是合理的选择，能提高手术疗效及精确性，减少并发症的发生。
목적비교영상도항진행만성비두염비내경수술여전통비내경수술적료효화병발증적발생정황。방법선취81례만성비두염환자재영상도항하행비내경수술（도항조），여111례만성비두염전통비내경수술환자（비도항조）재료효、병발증등진행비교。결과Ⅰ、Ⅱ형비두염도항조여비도항조치료유효솔、병발증발생솔차이무통계학의의（P＞0．05）；Ⅲ형비두염도항조여비도항조유효솔、병발증발생솔차이유통계학의의（P＜0．05）。도항조여비도항조병발증총적발생솔비교차이유통계학의의（P＜0．05）；Haller기방、Onodi기방비비구기방도항조여비도항조유효솔비교차이무통계학의의（P＞0．05）；비구기방액은와혹액두구적해부기형도항조여비도항조총적유효솔비교차이유통계학의의（P＜0．05）。결론대우Ⅲ형만성비두염、만성액두염환자，응용영상도항비내경수술시합리적선택，능제고수술료효급정학성，감소병발증적발생。
Objective To conduct the endoscopic sinus surgery on chronic nasosinusitis by the image guided navigation system (IGNS) and to analyze the curative effect and complication compared with traditional methods .Methods 81 cases of chronic nasosi-nusitis were randomly selected and performed endoscopic sinus surgery by using IGNS ,and compared with the other 111 cases of chronic nasosinusitis by using traditional nasal endoscopic surgery in the aspects of curative effect ,complications ,etc .Results TypeⅠ and type Ⅱ nasosinusitis had no significant difference in the effective rate between the navigation group and non-navigation group;type Ⅲ nasosinusitis had significant difference in the effective rate between navigation group and non-navigation group .The total incidence rate of complications had significant difference between the navigation group and non-navigation group(P<0 .05);the incidence rate of complications in type Ⅰ and type Ⅱ nasosinusitis had no significant difference between the navigation group and the non-navigation group(P>0 .05);the incidence rate of complications in type Ⅲ nasosinusitis had significant difference be-tween the navigation group and the non-navigation group with statistical significance (P< 0 .05);the effective rates of Haller gas room and Onodi gas rooms showed no significant difference between the navigation group and the non-navigation group (P>0 .05);the total effective raates of anatomical deformity of the frontal recess or the sinus area had significant difference between the naviga-tion group and the non-navigation group(P<0 .05);the total effective rates of agger nasi cell had significant difference between the navigation group and the non-navigation group (P<0 .05) ,the total effective rates of non-agger nasi cell had no significant differ-ence between the navigation group and the non-navigation group (P>0 .05) .Conclusion For the patients with type Ⅲ chronic na-sosinusitis ,chronic frontal sinusitis ,conduct endoscopic sinus surgery by using IGNS is a reasonable choice ,can increase the opera-tive effect and accuracy ,and reduce the occurrence of complications .