上颌窦息肉及囊肿处理方法的探讨

Maxillary sinus polyp and cyst excised by endoscopes surgery in chronic sinusitis and significance

目的 :探讨鼻内镜下上颌窦内息肉、囊肿手术切除方法。方法 :将上颌窦内有息肉和囊肿的 96例患者随机分为两组 :治疗组 5 0例 ,对照组 4 6例。治疗组应用Rudolf 4 .5mm上颌窦开窗器 ,经下鼻道钻孔 ,套管内窥及息肉和囊肿 ,电动吸引切割器切除。对照组经扩大的自然开口 ,用上颌窦息肉钳清除窦口可见到的息肉和囊肿。结果 :术后随访 6个月 ,治疗组治愈 4 1例 ,好转 8例 ,无效 1例 ,总有效率为 98.0 0 % ,治愈率为 82 .0 0 % ;对照组治愈 2 8例 ,好转 11例 ,无效 7例 ,总有效率为 84 .78% ,治愈率为 6 0 .87% ,两组比较 ,差异均有统计学意义 (P <0 .0 1和P <0 .0 5 )。结论 :鼻内镜下经下鼻道钻孔上颌窦息肉、囊肿电动吸引切割术是一种简单、疗效肯定的手术方法 ,可以提高慢性鼻窦炎的治愈率。

Objective:To look for a simple and convenient surgical method to treat the maxillary sinus polyp and cyst.Method:By means of Rudolf 4.5 mm cannula paracentetic needle trough inferior nasal meatus the polyp and cyst were be cut by cutter.Result:For half a year,50 cases were followed and no relapse was found by X-ray or CT.Conclusion:Maxillary sinus polyp and cyst can be excised by endoscope surgery through inferior canal,and it is a minimally invasive operation.The effective is positive.