内镜下球囊扩张术治疗儿童上颌窦炎的疗效

Efficacy of balloon sinuplasty via endoscopic sinus surgery in the treatment of maxillary sinusitis in children

目的总结鼻内镜下球囊扩张术治疗儿童上颌窦炎的疗效。方法儿童慢性上颌窦炎19例,Ⅰ型13例,Ⅱ型6例,均在术中清除病变组织,行上颌窦球囊扩张。其中的2例行钩突切除。结果术后随访半年以上,19例均无复发,CT检查显示上颌窦正常。术后6个月上颌窦口内径(62.64±2.12)mm,明显大于术前的(38.71±1.00)mm(P<0.01);窦口鼻道复合体黏膜恢复时间(19.73±1.00)d,明显短于传统功能性鼻内镜手术的(41.57±5.13)d(P<0.05)。结论内镜下球囊扩张术是治疗儿童上颌窦炎、慢性鼻-鼻窦炎的一种有效、简便、安全的新方法。

Objective To summarize the efficacy of balloon sinuplasty via endoscopic sinus surgery in the treatment of maxillary sinusitis in children.Methods Nineteen children with chronic sinusitis（typeⅠin 13 cases and typeⅡ in 6 cases） were treated by functional endoscopic sinus surgery（FESS）.Balloon sinuplasty was used by endoscopic sinus surgery and diseased tissues were cleaned.Uncinate process was cutted in 2 cases.Results CT scan showed that no case with recurrence was found during follow-up for 6 months.Compared to before,internal diameter of ostium maxilare after operation was significantly enlarged [（62.64±2.12） mm vs. （38.71±1.00） mm]（P〈0.01）.The recovery time of epithelium metaplasia of middle meatus in the patients underwent balloon sinuplasty was （19.73±1.00） d,which was shorter than （41.57±5.13） d in those underwent traditional FESS（P〈0.05）.Conclusion Balloon sinuplasty by endoscopic sinus surgery is an effective,simple and safe method in the treatment of maxillary sinusitis in children.