鼻内镜下泪前隐窝入路治疗真菌性上颌窦炎的临床研究

Clinical study of endoscopic prelacrimal recess in the treatment of fungal maxillary sinusitis

目的探讨鼻内镜下泪前隐窝入路治疗真菌性上颌窦炎的临床效果、简易性及安全性。方法对真菌性上颌窦炎患者100例采用鼻内镜下泪前隐窝入路治疗;并设置对照组100例,手术采用中鼻道上颌窦开窗术。病例选择采用随机分配原则,观察临床疗效、并发症等情况。结果治疗组治愈率占99%。术中术后均未见明显并发症发生。所有病例均经1年以上随访,效果满意;对照组治愈率占70%,后经联合泪前隐窝入路治愈。结论本术式操作安全,视野清晰,清除病变不留死角,复发率低;本术式解决了目前困扰鼻科医师在治疗真菌性上颌窦炎复发率高的困惑。

Objective To investigate the clinical effect and safety of endoscopic anterior lacrimal fossa approach in the treatment of fungal maxillary sinusitis. Methods One hundred patients of fungal maxillary sinusitis were treated by nasal endoscopic anterior lacrimal fossa approach, and other 100 cases were set up as the control group whose surgeries were done by meatus antrostomy. The clinical effect and com- plications were observed by using the principle of random allocation. Results The cure rate of the treatment group was 99%. There was no obvious complication occurred during the operation. All cases were followed up more than one year, the effect was satisfactory. The cure rate in the control group was 70%, and the patients who were not recovered were cured by combined anterior and posterior approach. Conclusion This procedure is safe and with clear vision. The removal of the lesion was complete and stable with low recurrence rate. So this technique can solve the currently trouble of otorhinolaryngology doctors.