中鼻甲部分切除术对额窦的影响

The effect of partial middle turbinectomy upon the frontal sinus

目的：探讨鼻内窥镜手术中行中鼻甲部分切除对额窦的影响。方法：对８７例鼻内窥镜手术患者的资料进行分析。结果：５５例鼻窦炎（无额窦炎）患者，功能性鼻窦内窥镜手术（ＦＥＳＳ）中，２９例行中鼻甲部分切除，术后７例出现额窦炎；２６例术中未行中鼻甲部分切除者５例出现额窦炎。经统计学处理，两者无显著性差异（Ｐ＞０．０５）。３２例无鼻窦炎患者中，无论行中鼻甲部分切除与否，无一例术后发生额窦炎。

Objective: To investigate the effect of partial middle turbinectomy under endoscopy upon the frontal sinus. Method: A retrospective analysis of 87 patients undergone endoscopic sinus surgery was made. Result: Among 55 sinusitis patients (no frontal sinus) suffered Fess,29 cases had partial middle turbinectomy and 7 cases were found postoperative frontal sinusitis.In other 26 cases without partial middle turbinectomy,5 cases were found frontal sinusitis.No significant difference between two groups was found(P>0.05).In 32 nonsinutis patients no postoperative frontal sisusitis was found. Couclusion: The partial middle turbinectomy has no effect on the incidence of frontal sinusitis.