Draf鼻内额窦引流术治疗42例额窦炎疗效观察

The curative effect investigate of Draft type frontal sinus drainage used on 42 patients with prosopantritis

目的探讨Draf鼻内额窦引流术治疗42例额窦炎的疗效。方法对该院2011年1月至2012年10月收治的42例额窦炎患者根据解剖学特征分别进行DrafⅠ、Ⅱa/b型鼻内额窦引流术治疗,术后随访半年并对治疗情况总结分析。结果 42例患者的CT显示共75侧病变,根据解剖特征,分别对患者行DrafⅠ、Ⅱa/b型鼻内额窦引流术治疗,有效率为82.67%。术后随访6个月,21侧额窦口再次狭窄或闭锁。结论 Draf鼻内额窦引流术与传统术式相比,微创、出血少、复发少,不影响鼻部外观,值得推广学习。

Objective To investigate the curative effect of DrafⅠ type,Ⅱa/b-type frontal sinus drainage used on 42patients（75sides）with prosopantritis.Methods A summary analysis of 42patients（75sides）with prosopantritis who lined DrafⅠ type,Ⅱa/btype frontal sinus drainage according to dissect characteristics during January 2011 to October 2012.Results CT of the 42 patients shows that there are 75 sides with prosopantritis,Based on the analysis of anatomical features performed DrafⅠ type,Ⅱa/b-type frontal sinus drainage to these patients,efficiency was 82.67%.Follow-up in half a year,restenosis and atresia again of 21 sides frontal sinus ostium was found.Conclusion Draf drainage has a good curative effect with small creation,few bleed and few recurrence in chronic prosopantritis.