摘要
目的:探讨孤立性额窦疾病或以额窦为主体的疾病的手术方式及预后。方法:诊治27例、29侧额窦内病变,包括阻塞性炎症、化脓性炎症、额窦囊肿、额窦霉菌病、良性肿瘤等,其中16例行鼻内径路鼻内镜手术,11例行鼻内镜下鼻内外联合径路手术。患者均随访1年以上。结果:鼻内镜手术16例中术后1年4例复发,复发率为25％,其中2例行二次手术。鼻外、鼻内联合径路11例中术后1年3例复发,复发率为27．3％,差异无显著性(P<0．01)。结论:额窦手术尤其是鼻内镜下的额窦手术较为困难,须区别病变特性,以行适当的手术和术中处理。
Objective： To summerize and analyze the surgical approach and clinical outcome for diseases of frontal sinus. Methods： Sixteen patients were operated on under nasal endoscopy by endonasal approach, and 11 under nasal endoscopy by endonasal plus external approach . The diseases included obstructed inflammation, purulent inflammation, mucocele, purulent mucocele, frontal mycosis, and benign tumor. All patients were followed up at least one year. Resuits：Among the 16 cases accepting surgery through endonasal approach, recurrence was found in 4（25 % ） during one - year follow- up, and 2 were reoperated on. Among the 11 cases accepting combined approaches, recurrence happend in 3（27.3% ）. No significant difference was presented statistically between the two groups. Conclusion： The frontal sinus surgery is somewhat difficult, especially under endonasal approach. It is essential to take appropriate approach and optimal management intraoperatively in order to decrease the surgical risk and postoperative recurrence.
出处
《山东大学耳鼻喉眼学报》
CAS
2005年第5期337-340,共4页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
额窦
额窦炎
内窥镜手术
治疗结果
Frontal sinus
Frontal sinusitis
Endoscopy
Treatment outcome
