鼻内窥镜下上颌窦口不同处理方式疗效分析

Analysis of the treatment effect of different types of operating ostium maxillary in endoscopic sinus surgery

目的:比较两种上颌窦手术方法的对上颌窦炎治愈率的差异。方法:将慢性上颌窦炎病例116例随机分为A、B两组,采用鼻内窥镜下行上颌窦手术,A组清理中鼻道阻塞因素、切除钩突后,不扩大上颌窦黏膜口,B组清理中鼻道阻塞因素、切除钩突后,切除上颌窦黏膜口。结果:随访12个月以上。依照海口1997年标准,A组75侧,治愈68侧,治愈率为90.7%,B组80侧,治愈74侧,治愈率为92.5%;A组好转7侧,好转率为9.3%,B组好转6侧,好转率为7.5%。结论:鼻内窥镜下两种上颌窦炎处理方法疗效相同。

Objective To compare the different cure rates of two operation ways curing maxillary sinusitis.Methods A total of 116 cases（155 sides）suffering from chronic maxillary sinusitis and receiving endoscopic sinus surgery were divided into two groups at random.In group A,both and uncinate process were excised,and the maxillary sinus mucosa mouths were not expanded.In group B,both the obstructive factors of middle nasal meatus and uncinate process were resected,and the maxillary sinus mucosa mouths were excised.Results On the standard of 1997（Haikou）,68 sides of 75 sides were cured in group A and 74 sides of 80 sides were cured in group B.the cure rate was 90.7% in group A and 92.5% in group B,and the mend rate was 9.3% in group A and 7.5% in group B in a follow-up of more than one year.Conclusion Two operation ways have the same treatment effect under nasal endoscopy.