鼻窦球囊扩张术的疗效分析及使用要点

发布时间：2018-04-21 18:10

本文选题：鼻窦球囊扩张术 + 鼻窦疾病　；参考：《临床耳鼻咽喉头颈外科杂志》2015年16期

【摘要】：目的:评估鼻窦球囊扩张术的安全性和有效性,并对其使用要点进行总结。方法:回顾性分析行单纯鼻窦球囊扩张术及鼻窦球囊扩张术联合其他术式的15例患者(41个鼻窦)资料,对照其术前及术后的鼻窦CT扫描及鼻内镜检查结果,并通过分析Lund-Mackay鼻窦CT评分和鼻腔鼻窦结局测试-20(SNOT-20)评分来观察手术效果和了解患者主观症状,评价患者术后病情改善情况。结果:所有患者术后均未出现眼眶及颅脑并发症,鼻内镜检查鼻窦口开放良好,鼻窦CT显示病灶明显消失。Lund-Mackay鼻窦CT评分及SNOT-20评分显示,所有患者术后3、6个月的分数对比基线值明显改善(均P0.01)。单纯行球囊扩张术的患者与鼻窦球囊扩张术联合其他术式的患者之间无明显差异,手术疗效均十分明显,主观症状明显改善。结论:鼻窦球囊扩张术不仅能有效扩张鼻窦口,同时也保留了鼻腔鼻窦的正常组织结构,手术微创,黏膜破坏小,出血少,患者术后恢复快,安全有效,大大减少了住院时间。该术式也可联合标准的鼻内镜手术,以达到更好的治疗效果,值得临床推广及应用。
[Abstract]:Objective: to evaluate the safety and efficacy of balloon dilatation of paranasal sinus. Methods: the data of 15 patients (41 sinuses) who underwent simple balloon dilatation of paranasal sinus and balloon dilatation of nasal sinus combined with other operations were retrospectively analyzed. The results of CT scan and endoscopic examination of nasal sinuses before and after operation were compared. Lund-Mackay sinus CT score and nasal cavity and nasal sinus outcome test -20 SNOT-20) score were analyzed to observe the effect of operation, to understand the subjective symptoms of the patients, and to evaluate the improvement of the patients' condition after operation. Results: no orbital or craniocerebral complications were found in all patients. Nasal endoscopy showed that the nasal sinus orifice was well opened. Ct findings of nasal sinuses disappeared obviously. Lund-Mackay sinus CT score and SNOT-20 score showed that the lesions disappeared obviously. The scores of all patients improved significantly 3 and 6 months after operation (all P 0.01). There was no significant difference between the patients with simple balloon dilatation and the patients with nasal sinus balloon dilatation combined with other operations. The curative effect of the operation was very obvious and the subjective symptoms were obviously improved. Conclusion: nasal sinus balloon dilatation can not only effectively dilate the nasal sinus orifice, but also preserve the normal tissue structure of the nasal cavity and paranasal sinus. The operation is minimally invasive, the mucosal damage is small, the bleeding is less, the patient recovers quickly, is safe and effective, and greatly reduces the hospitalization time. This procedure can also be combined with standard endoscopic surgery to achieve a better therapeutic effect, and it is worthy of clinical promotion and application.
【作者单位】：吉林大学第二医院耳鼻咽喉头颈外科;
【分类号】：R765.9

【参考文献】