根治性鼻窦手术自然窦口处理的临床分析

Clinical analysis of radical paranasal sinus surgery natural ostium

目的 :探讨根治性鼻窦手术中更为完善的上颌窦自然孔开窗术。方法 :为慢性鼻窦炎伴多发性鼻息肉 6 6例行根治性鼻窦手术自然窦口扩大术 ,术后随访 10～ 4 2个月 ,对慢性鼻窦炎伴多发性鼻息肉手术疗效与相关因素进行临床分析。结果 :患者均未发生并发症。结论 :根治性鼻窦手术中自然窦口的处理是治疗慢性鼻窦病变伴多发性鼻息肉的有效方法。

Objective:To improve the technique of endoscopic middle meatal antrostomy. Methods:Sixth-six cases with chronic sinusitis and nasal polyps were performed radical paranasal sinus antrostomy,and were followed up for 10 to 42 months.Result:The cure rate was 80%～90%.No complication occurred.Conclusion:The radical paranasal sinus surgery combined middle meatal antrostomy are efficacious and safe in the treatment of nasal polyps and chronic sinustitis.