揭盖法治疗鼻窦囊肿(附61例报告)

Treatment of Cysts in Paranasal Sinuses by the Uncovering Method

目的 :探讨鼻窦内窥镜下“揭盖法”手术治疗鼻窦囊肿的方式和优点。方法 :分析 6 1例鼻窦囊肿患者的发病部位 ,囊肿性状。并对本组所有病例采用了鼻窦内窥镜手术治疗 ,其方法为“揭盖法” ,即手术打开与鼻腔相接的囊壁 ,而不去掉与周围结构相邻的囊壁 ,是为囊肿“揭盖”或“开窗”。结果 :所有病例在局麻或全麻下均顺利完成手术 ,无并发症发生 ,术后症状均明显改善 ,随访 3～ 6月 ,未发现引流口封闭。结论 :鼻窦囊肿行鼻窦内窥镜手术 ,只要去除与鼻腔相接的囊壁 (揭盖法 ) ,而无需去掉与周围结构相邻的囊壁。这种手术方式 ,既保证了囊腔的引流 ,也避免了并发症的发生 。

Objective:To search for a good surgical procedures for resecting nasal sinus cyst with'Uncovering Method'by endoscopy.Methods:Sixty-one cases suffered from cysts in nasal sinus resected by endoscopy were reported.The method was called'Uncovering Method',which means only removing part of the cyst wall on the nasal cavity side.Results:Local or general anesthesia was used and no complications were found in all of the cases.Also,no occlusion of the draining opening was found following 3 to 6 month and all of the complains were significantly relieved.Conclusion:Use'The Uncovering Method'for treating sinus cyst is good for drainage,avoid complication,and with less possibility of the draining opening to be closed again.