经泪前隐窝径路鼻内镜下治疗真菌性鼻窦炎的临床效果探讨

Clinical investigation on treatment of fungal sinusitis through anterior lacrimal recess approach under nasal endoscope

目的探讨经泪前隐窝径路鼻内镜下清除上颌窦真菌性鼻窦炎+泪前隐窝骨窗内置引流管治疗上颌窦真菌性鼻窦炎的临床效果。方法选取我院2012年12月至2014年12月收治上颌窦真菌性鼻窦炎60例,随机分组,其中对照组30例,采用传统鼻内镜手术治疗;试验组30例,采用泪前隐窝径路鼻内镜手术治疗;分别以两组患者临床治疗有效率及随访复发率作为临床观察指标,并使用统计学软件进行统计分析。结果试验组患者临床有效率明显优于对照组患者,P<0.05。结论鼻内镜下泪前隐窝入路能够充分显露上颌窦腔,彻底切除上颌窦内的病变,手术操作方便,能够有效治疗上颌窦真菌性鼻窦炎,具有临床应用价值。

Objective Toinvestigate the antenor lacnmal recess approach endoscopic removal of clinical effect of recess bone window with built-in drainage tube in treatment of maxillary sinus fungal sinusitis maxillary sinus fungal sinusitis. Methods In our hospital, in 2012 December-2014 year in December admitted 60 cases of maxillary sinus fungal sinusitis, randomized, 30 patients in control group, using the traditional endoscopic surgery; 30 cases of test group, with tears before the recess approach endoscopic surgery; respectively to two groups of patients with clinical treatment effective rate and recurrence rate were observed as indicators of clinical observation, and statistical analysis was performed using the statistical software. Results In the test group clinical efficiency was obviously better than the patients in the control group, P 〈 0. 05. Conclusions Endoscopic anterior lacrimal recess can expose the maxillary antrum, thorough resection of maxillary sinus lesions, the operation is convenient, can effectively treat maxillary sinus fungal sinusitis, has the value of clinical application.