CAJ | 학술논문

目的探讨经鼻内镜鼻窦手术中不同方法处理上颌窦自然口与预后的关系.方法将80例慢性鼻窦炎、鼻息肉患者按随机数字表法分为两组:试验组40例,术中根据上颌窦自然口形态与上颌窦本身的病变情况,扩大或不扩大上颌窦自然口;对照组40例,术中均扩大上颌窦自然口.观察两组上颌窦自然口开放率和术后并发症发生情况.结果术后随访至少1年,试验组上颌窦自然口开放率明显高于对照组[97.5％(39/40)比77.5％(31/40)],术后并发症发生率明显低于对照组[5.0％(2/40)比27.5％(11/40)],差异有统计学意义(P＜0.01).结论鼻内镜鼻窦手术中是否扩大上颌窦自然口,应根据术中具体情况而定,尽可能地减少术中损伤,防止术后上颌窦口闭锁或并发症的发生.
목적 탐토경비내경비두수술중불동방법처리상합두자연구여예후적관계.방법 장80례만성비두염、비식육환자안수궤수자표법분위량조:시험조40례,술중근거상합두자연구형태여상합두본신적병변정황,확대혹불확대상합두자연구;대조조40례,술중균확대상합두자연구.관찰량조상합두자연구개방솔화술후병발증발생정황.결과 술후수방지소1년,시험조상합두자연구개방솔명현고우대조조[97.5％(39/40)비77.5％(31/40)],술후병발증발생솔명현저우대조조[5.0％(2/40)비27.5％(11/40)],차이유통계학의의(P＜0.01).결론 비내경비두수술중시부확대상합두자연구,응근거술중구체정황이정,진가능지감소술중손상,방지술후상합두구폐쇄혹병발증적발생.
Objective To explore the relationship between different treatment methods of hiatus sinus maxillaris during nasal endoscope paranasal sinuses operation and prognosis.Methods Eighty patients with chronic rhinosinusitis and rhinopolyp were divided into observation group and control group byrandom digits table method with 40 cases each.Expanding hiatus sinus maxillaris were given according to the modality of hiatus sinus maxillaris and lesion of maxillaris sinus in observation group.The patients in control group were given expanding hiatus sinus maxillaris.The opening rate of hiatus sinus maxillaris and postoperative complication were observed.Results All the patients were followed up ≥ 1 year.The opening rate of hiatus sinus maxillaris in observation group (97.5％,39/40) was significantly higher than that in control group (77.5％,31/40),the rate of postoperative complication in observation group (5.0％,2/40) was significantly lower than that in control group (27.5％,11/40),and there were statistical differences (P ＜ 0.01).Conclusion Whether or not to enlarge hiatus sinus maxillaris during nasal endoscope paranasal sinuses operation should base on intraoperative specific situation,and it can reduce intraoperative injury,prevent the shutting of sinus and postoperative complication.