鼻内镜下两种术式治疗非侵袭性真菌性上颌窦炎的疗效观察

Therapeutic Effects of Two Endoscopic Surgical Treatments for Non-invasive Fungal Maxillary Sinusitis:A Clinical Observation

目的探讨鼻内镜下两种术式治疗非侵袭性真菌性上颌窦炎的疗效。方法非侵袭性真菌性上颌窦炎60例,随机分成两组,A组32例采用鼻内镜下上颌窦自然口扩大术,B组28例采用鼻内镜下上颌窦自然口扩大联合下鼻道开窗术。结果术后随访6个月～2年,A组治愈30例,治愈率93.8%,B组治愈27例,治愈率96.4%。两组疗效差异无统计学意义(P>0.05)。结论鼻内镜手术治疗非侵袭性真菌性上颌窦炎的疗效确切,术中务必彻底清除窦内全部真菌团块,必要时联合下鼻道开窗术。

Objective To explore the therapeutic effects of two endoscopic surgical treatments for non-invasive fungal maxillary sinusitis. Methods Sixty cases of non-invasive fungal maxillary sinusitis were randomly divided into two groups： A group of 32 cases, the maxillary natural ostiums were enlarged with endoscopic sinus surgery, B group of 28 cases, the maxillary natural ostiums were enlarged with endoscopic sinus surgery jointly fenestration of inferior meatus. Results All patients were followed up for 6 months to 2 years, A group of 30 cases were cured, the cure rate 93.8%, B group of 27 cases were cured, the cure rate was 96.d%. with there was no significant difference between two groups （ P ~ 0.05 ）. Conclusion The endoscopic sinus surgery is an effective treatment for noninvasive fungal maxillary sinusitis, be sure to completely clear all fungal clumps, if necessary, jointly fenestration of inferior meatus.