103例修正性额窦炎手术对额隐窝阻塞的观察及分析报道

发布时间：2018-05-01 00:24

本文选题：复发性额窦炎 + 修正性鼻内镜手术　；参考：《中国内镜杂志》2014年10期

【摘要】：目的探讨鼻内镜下额窦炎手术后复发原因。方法 2009年1月~2012年6月对74名(103例/侧)复发性额窦炎患者行修正性鼻内镜手术,术中探查额隐窝阻塞因素,分析额窦炎症状再发原因。结果共探查103例(侧)额隐窝,发现阻塞原因有以下5种:黏膜病变(67%);残留气房(64%);中鼻甲外移(30%);纤维瘢痕增生(14%);骨质增生(7%)。常为多种病因共存于同一额隐窝中。结论复发性额窦炎可由多种额隐窝阻塞性因素引起,需施行修正性鼻内镜手术。选择适当的手术方式有利于畅通额隐窝引流,避免手术失败。
[Abstract]:Objective to investigate the causes of recurrence of frontal sinusitis after endoscopic sinus surgery. Methods from January 2009 to June 2012, 74 patients with recurrent frontal sinusitis were treated with modified endoscopic sinus surgery. The factors of frontal recess obstruction were investigated and the causes of recurrent symptoms of frontal sinusitis were analyzed. Results A total of 103 cases (lateral) of frontal recess were explored. The causes of obstruction were as follows: mucosal lesion 67%; residual chamber 64; middle turbinate external migration 30%; fibrous scar hyperplasia 14%; bone hyperplasia 7%. It is common for many causes to coexist in the same frontal recess. Conclusion recurrent frontal sinusitis may be caused by multiple obstructive factors of frontal recess. Proper surgical methods are helpful to smooth the drainage of frontal recess and avoid the failure of operation.
【作者单位】：江苏省无锡市第四人民医院耳鼻咽喉头颈外科;
【分类号】：R765.9

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