按摩与康复医学
按摩與康複醫學
안마여강복의학
Chinese Manipulation & Rehabilitation Medicine
2015年
17期
21-22
,共2页
上颌窦疾病%功能性鼻内镜%手术治疗%闭锁%缩窄%疗效
上頜竇疾病%功能性鼻內鏡%手術治療%閉鎖%縮窄%療效
상합두질병%공능성비내경%수술치료%폐쇄%축착%료효
maxillary sinus diseases%functional endoscopic sinus%surgical treatment%atresia%coarctation%efficacy
目的：探讨鼻内镜治疗上颌窦疾病的疗效。方法：选择2013年5月~2014年9月在我院接受上颌窦疾病治疗的患者39例（62侧），对其实施鼻内镜下鼻窦开放术开放扩大上颌窦口，观察患者窦口的开放情况，统计其缩窄率及闭锁率。结果：39例患者中有36例术后症状完全缓解或部分缓解，占92.31%；手术前CT评分≥10分的27侧有12侧术后上颌口缩窄，术前CT评分<10分的35侧有30侧上颌窦口缩窄，差异有统计学意义（P<0.05）；手术中23侧伴息肉者有4侧术后上颌窦口闭锁，39侧不伴息肉者均无上颌窦口闭锁，差异有统计学意义（P<0.05）。结论：功能性鼻内镜手术治疗上颌窦疾病可取得良好疗效，伴息肉患者术后上颌窦口闭锁率高，病变范围严重者术后缩窄率较高。
目的：探討鼻內鏡治療上頜竇疾病的療效。方法：選擇2013年5月~2014年9月在我院接受上頜竇疾病治療的患者39例（62側），對其實施鼻內鏡下鼻竇開放術開放擴大上頜竇口，觀察患者竇口的開放情況，統計其縮窄率及閉鎖率。結果：39例患者中有36例術後癥狀完全緩解或部分緩解，佔92.31%；手術前CT評分≥10分的27側有12側術後上頜口縮窄，術前CT評分<10分的35側有30側上頜竇口縮窄，差異有統計學意義（P<0.05）；手術中23側伴息肉者有4側術後上頜竇口閉鎖，39側不伴息肉者均無上頜竇口閉鎖，差異有統計學意義（P<0.05）。結論：功能性鼻內鏡手術治療上頜竇疾病可取得良好療效，伴息肉患者術後上頜竇口閉鎖率高，病變範圍嚴重者術後縮窄率較高。
목적：탐토비내경치료상합두질병적료효。방법：선택2013년5월~2014년9월재아원접수상합두질병치료적환자39례（62측），대기실시비내경하비두개방술개방확대상합두구，관찰환자두구적개방정황，통계기축착솔급폐쇄솔。결과：39례환자중유36례술후증상완전완해혹부분완해，점92.31%；수술전CT평분≥10분적27측유12측술후상합구축착，술전CT평분<10분적35측유30측상합두구축착，차이유통계학의의（P<0.05）；수술중23측반식육자유4측술후상합두구폐쇄，39측불반식육자균무상합두구폐쇄，차이유통계학의의（P<0.05）。결론：공능성비내경수술치료상합두질병가취득량호료효，반식육환자술후상합두구폐쇄솔고，병변범위엄중자술후축착솔교고。
Objective:Analysis of nasal endoscopic treatment of maxillary sinus disease clinical efficacy. Methods:May 2013~September 2014 to ac-cept the choice of treatment of maxillary sinus diseases in our hospital 39 patients (62 sides), the implementation of endoscopic sinus surgery to ex-pand open open maxillary sinus ostium opening situation of patients with sinus, observation, statistics of its constriction ratio and atresia rate. Re-sults:In 39 cases, 36 cases of patients with postoperative symptoms of complete or partial remission, accounted for 92.31%;CT score before opera-tion more than 10 points in 27 of 12 patients with postoperative maxillary lateral opening constriction;35 sides of the preoperative CT score<10 pa-tients there were 30 cases of maxillary sinus ostium coarctation;group two to narrow the difference in prevalence significantly, P<0.05 with statisti-cal significance;operation in 23 patients with polyps side in 4 patients after locking the side opening of maxillary sinus, maxillary sinus atresia in 39 patients without the export side without polyps, compare the difference of two groups of patients rate atresia significantly, P<0.05 statistically signifi-cance. Conclusion:Maxillary sinus diseases of functional endoscopic sinus surgery therapy has a good clinical effect, with polyp patients postopera-tive maxillary sinus ostium atresia rate, lesion range in patients with severe postoperative constrictive rate is higher.
