上颌窦感染患者内镜治疗的临床分析

发布时间：2018-04-12 09:20

本文选题：鼻道开窗术 + 双径路术　；参考：《中华医院感染学杂志》2014年17期

【摘要】：目的探讨鼻内镜下中鼻道开窗联合尖牙小视窗双径路术治疗上颌窦感染患者的疗效,为临床治疗上颌窦感染提供参考。方法选取医院2011年2月-2012年3月收治的128例上颌窦感染患者,随机分为两组,每组各64例,对照组单纯应用鼻内镜下中鼻道开窗术治疗,观察组同时联合尖牙窝小视窗双径路术治疗,对两组患者的治疗效果进行对照分析。结果临床治疗总有效率对照组为79.69%,观察组为93.75%,观察组患者明显高于对照组,差异有统计学意义(P0.05);术前观察组患者的主观症状评分为(133.47±10.52)分、术后为(27.95±5.04)分;对照组术前为(132.52±10.69)分、术后为(41.76±6.31)分,两组患者主观症状评分均较治疗前显著下降,但观察组下降幅度明显优于对照组(P0.05)。结论鼻内镜下中鼻道开窗术治疗上颌窦感染有效,但联合尖牙小视窗双径路术后,临床治疗效果明显增强,主观症状显著改善。
[Abstract]:Objective to evaluate the efficacy of endoscopic middle nasal meatus fenestration combined with small canine window approach in the treatment of maxillary sinus infection and to provide reference for clinical treatment of maxillary sinus infection.Methods from February 2011 to March 2012, 128 patients with maxillary sinus infection were randomly divided into two groups, 64 cases in each group. The control group was treated with endoscopic middle nasal canal fenestration.The two groups were treated with small window of canine fossa and the therapeutic effects were compared and analyzed.Results the total effective rate of clinical treatment in the control group was 79.69 and that in the observation group was 93.75.The patients in the observation group were significantly higher than those in the control group, the difference was statistically significant (P 0.05), the subjective symptom score of the patients in the preoperative observation group was 133.47 卤10.52), and the score was 27.95 卤5.04 before operation in the observation group, and 132.52 卤10.69 in the control group before operation.The score of subjective symptoms in the two groups was significantly lower than that before treatment, but the decrease in the observation group was significantly higher than that in the control group (P 0.05).Conclusion Endoscopic middle nasal meatus fenestration is effective in the treatment of maxillary sinus infection.
【作者单位】：海南省农垦总医院耳鼻喉科;
【基金】：海口市科技局科教基金资助项目(121461063)
【分类号】：R765.9

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