鼻内镜下双径路术式治疗非侵袭性真菌性上颌窦炎疗效分析

The Curative Effect Analysis of Dual Pathways in Treating Non-invasive Fungal Maxillary Sinusitis by Nasal Endoscopic Surgery

目的探讨鼻内镜下中、下鼻道双径路手术治疗非侵袭性真菌性上颌窦炎的临床疗效。方法回顾性分析接受中、下鼻道双径路鼻内镜手术,并定期复诊随访6个月以上的66例非侵袭性真菌性上颌窦炎患者的手术疗效,按1997年海口标准进行疗效评定。结果 66例患者中治愈60例(90.91%);好转5例(7.58%);复发1例(1.52%);无1例并发症发生。结论鼻内镜下中、下鼻道双径路术式显著提高了非侵袭性真菌性上颌窦炎疗效,可作为首选手术方式,术后定期鼻内镜复查及上颌窦窦腔冲洗有利于减少并发症和降低复发率。

Objective To explore the clinical effect of adopting dual pathways （ middle and inferior nasal？ meatus） in nasal en-doscopic surgery to treat non-invasive fungal maxillary sinusitis. Methods 66 patients with non-invasive fungal maxillary sinusitis treated by dual pathways in endoscopic sinus surgery and accepting regular reexamination for more than 6 months were analyzed retro-spectively and measured according to 1997 Haikou standard. Results 60 of 66 cases were cured （ 90. 91%） , 5 cases improved （7. 58%）, 1 case recurred （1. 52%）; None with complications. Conclusion Dual pathways （middle and inferior nasal meatus） in nasal endoscopic surgery significantly improved the curative effect for cases with non-invasive fungal maxillary sinusitis, therefore, it could be used as the preferred operation method. Regular postoperative checking with nasal endoscope and flushing maxillary sinus cav-ity were helpful to reduce complications and lower recurrence rate.