上颌窦穿刺窦内注氧治疗儿童慢性上颌窦炎的疗效观察

Effect of infusing oxygen into maxillary sinus by puncturing in children with chronic maxillary sinusitis

目的 :观察上颌窦穿刺窦内注氧治疗儿童慢性化脓性上颌窦炎的效果。方法 :选择慢性化脓性上颌窦炎患儿 5 1例 ,行上颌窦穿刺冲洗后 ,依照治疗方法的不同 ,分为A、B两组 ,A组 2 6例 5 0侧 ,行窦内注药治疗 ;B组 2 5例 4 6侧 ,行窦内注氧、注药治疗。进一步依照治疗开始时上颌窦冲洗流出液性状的不同分为 4组 ,A1组 11例 2 1侧 ,B1组 11例 2 0侧 ,流出液呈团絮样 ;A2组 15例 2 9侧 ,B2组 14例 2 6侧 ,流出液呈蛋花样 ,分组观察上颌窦冲洗流出液为正常所需的治疗次数 ,治疗 1年内患儿症状复发情况。结果 :治疗次数A组 (3 6 4± 0 75 )次 ,B组 (3 2 6± 0 74 )次 ,A、B两组间t =2 4 9,P <0 0 5 ,差异显著。进一步分组观察 ,A2、B2两组间t=2 12 ,P <0 0 5 ,差异显著 ;其他各组内、组间比较 ,差异不显著。治疗 1年内患儿前来复诊的为 ,A组 6例 12侧、B组 5例 9侧。结论 :窦内注氧治疗对治疗开始时上颌窦冲洗流出液为蛋花样的患儿 ,有较好的治疗效果 ;对上颌窦冲洗流出液为团絮样的患儿治疗意义不大 ;对减少患儿病症复发的意义也不大。

Objective:To observe effect of infusing oxygen into maxillary sinus by puncturing in children with chronic suppurative maxillary sinusitis(CSMS).Methods:According to different treatments after maxillary sinus punctured and washed,51 children with CSMS were divided into two groups.There were 50 sides of 25 cases with CSMS in group A who were only infused drugs into maxillary sinus,and 46 sides of 26 cases in group B who were infused oxygen before drugs.Moreover,they were divided into four groups in according with characters of outflow liquid when maxillary sinus were punctured and washed first.There were 21 sides of 11 cases in group A1 and 20 sides of 11 cases in group B1 whose outflow liquid were mass like,29 sides of 15 cases in group A2 and 26 sides of 14 cases in group B2 whose outflow liquid were slurry like.Their treatment times were accumulated totally until outflow liquid of maxillary sinus was normal,and children symptoms of CSMS were observed in a year.Result:Treatment times were (3 64±0 75) in group A and (3 26±0 74) in group B with a statistical significant difference.In grouping,treatment times were (3 62±0 80) in group A1,(3 66±0 72) in group A2,(3 30±0 73) in group B1, (3 23±0 76) in group B2.There was a statistical significant difference between group A2 and group B2,and no singnificant difference between other groups.There were 12 sides of 6 cases in group A and 9 sides of 5 cases in group B whose symptoms of CSMS were observed in a year.Conclusions:Infusing oxygen into maxillary sinus was helpful to cases whose first outflow liquid of maxillary sinus were mass like,and no helpful to cases whose first outlflow liquid were slurry like.There was no positive effect to decrease recrudescence of CSMS.