70°鼻内镜下上颌窦真菌球手术治疗的效果分析

Analysis effect of transnasal 70° endoscopic surgical treatment of fungus ball in the maxillary sinus

目的探讨70°鼻内镜下上颌窦真菌球的手术治疗效果。方法对40例经0°鼻内镜手术(A组)和40例经70°鼻内镜手术(B组)的患者于术后1年时应用电子鼻咽喉镜分别检查两种手术后上颌窦真菌球存在情况,对比两组间的疗效差异。结果所有80例术后1年上颌窦开放口均开放良好。A、B二组病例中,上颌窦内有真菌团块存在者分别为9例和1例,B组疗效优于A组(x^2=7.31,P<0.01)。结论 70°鼻内镜下经中鼻道入路进行上颌窦真菌球手术治疗是一种安全、可靠和有效的治疗方法,比0°手术治疗为优。

Objective To observe effectiveness of transnasal 70° endoscopic surgery of aspergillus myceto- mas of the maxillary sinus. Methods Forty patients were treated with 0° endoscopic surgical procedure （A group）, forty patients were treated with 70° endoscopic surgical procedure（B group）. One year after surgery,pediatric rhino- larynx electronic video endoscope was used to examined all patients so as to identify whether there was mycotic con- cretion existing in the maxillary sinuses. Results All surgical ostia were well open. Mycotic concretion was observed in 9 of A group and 1 of B group, respectively （X2 = 7.31, P 〈 0.01 ）. Conclusion Endonasal middle meatus antros- tomy under 70° endoscopic surgical procedure is a safe, reliable and effective methods to treat fungus ball in maxillary sinus, better than 0°endoscopic surgical procedure.