国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
3期
378-380
,共3页
真菌性上颌窦炎%柯-陆氏手术%鼻内镜%上颌窦开放术
真菌性上頜竇炎%柯-陸氏手術%鼻內鏡%上頜竇開放術
진균성상합두염%가-륙씨수술%비내경%상합두개방술
Fungal maxillary sinusitis%Ke-Lu procedure%Endoscopy%Open maxillary sinus surgery
目的 对比传统上颌窦根治术(柯-陆氏手术)与鼻内镜下上颌窦自然口扩张联合下鼻道开窗术治疗非侵袭性真菌性上颌窦炎的临床疗效.方法 回顾性分析本院以往采取柯-陆氏手术治疗的29例患者作为对照组,以本院采取鼻内镜下上颌窦自然口扩张联合下鼻道开窗术治疗的38例患者作为观察组,对比两组临床疗效.结果 观察组治愈率(57.89％)与总有效率(94.74％)均明显高于对照组(31.03％,72.41％),P＜ 0.05;观察组复发率(2.63％)明显低于对照组(20.69％),P＜ 0.05.结论 鼻内镜下上颌窦自然口扩张联合下鼻道开窗术治疗非侵袭性真菌性上颌窦炎疗效确切、手术创口小、术后易恢复、复发率低,可于临床治疗中广泛应用.
目的 對比傳統上頜竇根治術(柯-陸氏手術)與鼻內鏡下上頜竇自然口擴張聯閤下鼻道開窗術治療非侵襲性真菌性上頜竇炎的臨床療效.方法 迴顧性分析本院以往採取柯-陸氏手術治療的29例患者作為對照組,以本院採取鼻內鏡下上頜竇自然口擴張聯閤下鼻道開窗術治療的38例患者作為觀察組,對比兩組臨床療效.結果 觀察組治愈率(57.89％)與總有效率(94.74％)均明顯高于對照組(31.03％,72.41％),P＜ 0.05;觀察組複髮率(2.63％)明顯低于對照組(20.69％),P＜ 0.05.結論 鼻內鏡下上頜竇自然口擴張聯閤下鼻道開窗術治療非侵襲性真菌性上頜竇炎療效確切、手術創口小、術後易恢複、複髮率低,可于臨床治療中廣汎應用.
목적 대비전통상합두근치술(가-륙씨수술)여비내경하상합두자연구확장연합하비도개창술치료비침습성진균성상합두염적림상료효.방법 회고성분석본원이왕채취가-륙씨수술치료적29례환자작위대조조,이본원채취비내경하상합두자연구확장연합하비도개창술치료적38례환자작위관찰조,대비량조림상료효.결과 관찰조치유솔(57.89％)여총유효솔(94.74％)균명현고우대조조(31.03％,72.41％),P＜ 0.05;관찰조복발솔(2.63％)명현저우대조조(20.69％),P＜ 0.05.결론 비내경하상합두자연구확장연합하비도개창술치료비침습성진균성상합두염료효학절、수술창구소、술후역회복、복발솔저,가우림상치료중엄범응용.
Objective To compare the clinical efficacy of traditional radical maxillary surgery (Ke-Lu procedure) and intranasal endoscopic maxillary sinus natural dilation combined with fenestration of inferior meatus in the treatment of fungal maxillary sinusitis.Methods 29 patients who had undergone Ke-Lu procedure were enrolled in a control group,whild 38 patients who had received endoscopic maxillary sinus natural dilation combined with fenestration of inferior meatus were included in a study group.The clinical efficacy was compared between the two groups.Results The cure rate and the total effectiveness rate were significantly higher in the study than in the control group (P＜ 0.05).The recurrence rate was markedly lower in the study group than in the control group (P＜ 0.05).Conclusions Intranasal endoscopic maxillary sinus natural dilation combined with fenestration of inferior meatus is efficacious in the treatment of fungal maxillary sinusitis.Patients have smaller surgical wounds with quicker postoperative recovery and have a lower rate of recurrence.The procedure is worth popularizing clinically.
