CAJ | 학술논문

目的：探讨鼻内镜辅助下上颌窦根治术治疗真菌性上颌窦炎的临床价值。方法选择40例患者在鼻内镜辅助下上颌窦根治术治疗真菌性上颌窦炎，并与常规开放上颌窦根治术的患者比较，观察两组手术时间、术中出血以及总住院时间，并统计两组术后发生的并发症。结果观察组术中出血显著少于对照组（P＜0.05），总住院时间显著短于对照组（P＜0.05），观察组术后出现引流不畅、上唇麻木以及术后出血的比率均显著低于对照组（P＜0.05）。结论鼻内镜辅助下上颌窦根治术治疗真菌性上颌窦炎其手术创伤小，术后恢复快，并发症少，值得临床推广。
목적：탐토비내경보조하상합두근치술치료진균성상합두염적림상개치。방법선택40례환자재비내경보조하상합두근치술치료진균성상합두염，병여상규개방상합두근치술적환자비교，관찰량조수술시간、술중출혈이급총주원시간，병통계량조술후발생적병발증。결과관찰조술중출혈현저소우대조조（P＜0.05），총주원시간현저단우대조조（P＜0.05），관찰조술후출현인류불창、상진마목이급술후출혈적비솔균현저저우대조조（P＜0.05）。결론비내경보조하상합두근치술치료진균성상합두염기수술창상소，술후회복쾌，병발증소，치득림상추엄。
Objective To investigate the clinical value of nasal endoscope assisted maxillary sinus radical in the treatment of fungal maxillary sinusitis. Methods 40 cases used nasal endoscopic assisted maxillary sinus radical for fungal maxillary sinusitis, and 40 cases with conventional open radical maxillary sinusotomy wrer selected, then the two groups were compared and observed with operation time, intraoperative bleeding and total duration of hospitalization,statisticed the incidence of postoperative complications. Results The intraoperative hemorrhage in the observation group was less than control group(P<0.05), total hospitalization time was shorter than control group (P< 0.05), poor drainage, upper lip numbness and postoperative bleeding rates were lower than control group(P < 0.05). Conclusion There has less trauma, faster postoperative recovery and less complications of nasal endoscopic assisted maxillary sinus radicalfor in the treatment of fungal maxillary sinusitis, so it is worthy of clinical application.