保留部分钩突功能性鼻内镜手术临床观察

Retain Some Uncinate Process of the Nasal Cavity after Functional Endoscopic Sinus Surgery

目的探索新的内镜鼻窦手术方式,使之更加适应鼻腔、鼻窦生理学特征,更加符合结构重建的内镜鼻窦手术理论。方法30例单纯型慢性鼻窦炎患者作为观察组,在鼻内镜下自钩突膝部开始,沿上颌线切除钩突膝部和水平部,显露上颌窦,行鼻窦开放。30例单纯型慢性鼻窦炎患者采取经典钩突切除术作为对照组。术后按照主观症状恢复情况和鼻内镜下局部状态综合评价疗效。结果两组临床疗效有显著性差异(P<0.01),术后1个月、6个月并发症也有明显差异。结论保留部分钩突的功能性鼻内镜手术基本维护了鼻腔原有结构,可对开放的鼻窦具有保护并防止吸人气流的直接冲击的作用,减少了术后并发症的发生,在同等条件下行保留部分钩突的功能性鼻内镜手术更符合微创手术理念及功能性鼻内镜手术理念。

Objective To explore new operative method of endoscopic sinus surgery which is more suitable to the physiological characteristics of nasal sinus and consistent with the structural remodeling theory of the endoscopic sinus surgery. Method In the observation group, 30 cases of simple chronic sinusitis were received the functional endoscopic sinus surgery and some uncinate process of the nasal cavity were preserved. 30 cases of simple chronic sinusitis as control group were received classical uncinate process resection. The curative effecte, were evaluated according to the subjective symptoms after recovery and endoscopic local state. Results The clinical effects on the observation group were significantly higher than that of control group. The complication rate in observation group after 1 and 6 months of the surgery was lower than that of control group. Conclusion The functional endoscopic sinus surgery is more suitable to the physiological characteristics of nasal sinus and consistent with the structural remodeling theory of the endoscopic sinus surgery.