CAJ | 학술논문

目的：探讨开颅手术后额窦炎的原因及神经内镜下处理额窦炎的效果。方法2012年11月～2013年12月收治的11例经额开颅手术后额窦炎患者，主要表现为头痛、流脓涕和眼睑上方流脓，发病时间平均3．9年；MRI表现为额窦炎；均行神经内镜下额窦造口术。结果患者术后额窦炎症状均消失，随访6～13个月，未见复发。结论经额开颅手术后出现额窦炎可能与手术中额窦处理不当有关，特别是骨蜡将额窦夯实致额窦粘膜分泌物阻塞，引流不畅。神经内镜下处理额窦炎是一种微创有效的手术方式，内镜下暴露至额窦后清除骨蜡、炎性肉芽组织及扩大额窦口，能获得良好的手术效果。
목적：탐토개로수술후액두염적원인급신경내경하처리액두염적효과。방법2012년11월～2013년12월수치적11례경액개로수술후액두염환자，주요표현위두통、류농체화안검상방류농，발병시간평균3．9년；MRI표현위액두염；균행신경내경하액두조구술。결과환자술후액두염증상균소실，수방6～13개월，미견복발。결론경액개로수술후출현액두염가능여수술중액두처리불당유관，특별시골사장액두항실치액두점막분비물조새，인류불창。신경내경하처리액두염시일충미창유효적수술방식，내경하폭로지액두후청제골사、염성육아조직급확대액두구，능획득량호적수술효과。
Objective To investigate the causes of frontal sinusitis after craniotomy and the strategy of frontal sinusitis by neural endoscopic .Methods A total of 11 patients with frontal sinusitis after craniotomy were admitted from November 2012 to December 2013,with the symptom of headache , purulence stuff and upper eyelid discharging .The onset time was 3.9 years on average .MRI showed frontal sinusitis and all of the patients received neural endoscopic frontal sinus neostomy .Results The following up from 6 to 13 months showed the symptoms of frontal sinusitis disappeared and did not relapse .Conclusions The frontal sinusitis after surgical operation may be related to the mishandling of frontal sinus , especially bone wax to be addressed to the frontal sinus ramming leading to frontal sinus mucosa secretion obstruction and poor drainage .Neural endoscopic treatment of frontal sinusitis is a way of minimally invasive surgery.Good operation effect can be obtained by endoscopic removal of bone wax ,inflammatory granulation tissue, and the enlargement of frontal sinus aperture after exposure to the fronta sinus.