慢性上颌窦炎鼻内镜下开窗方式的选择与疗效观察

发布时间：2018-07-05 17:26

本文选题：上颌窦炎 + 内窥镜检查　；参考：《中国耳鼻咽喉头颈外科》2011年11期

【摘要】：目的观察鼻内镜下上颌窦开放术治疗慢性上颌窦炎,不同开窗方式的选择与疗效分析。方法 56例单侧慢性筛、上颌窦炎伴鼻息肉患者,术前Lund-Mackay CT评分,CT评分=2者纳入研究对象,术中随机分为A组28例、B组28例,分别行中鼻道开窗和中下鼻道联合开窗,以鼻腔鼻窦结局测试-20(sino-nasal outcome test-20,SNOT-20)量表中文版、Lund-Kennedy评分及糖精试验黏液纤毛传输时间(mucociliary transport time,MTT)对比术后疗效,另外,用亚甲蓝染色观察黏液纤毛传输途径。结果术后6个月时,A、B两组SNOT评分、Lund-Kennedy评分及MTT值差异均有统计学意义(P0.05);50例亚甲蓝从上颌窦口下缘流出,5例亚甲蓝从上颌窦口前缘流出。结论①对于慢性上颌窦炎Lund-Mackay CT评分=2的病例,行中、下鼻道联合开窗可取得更好的疗效;②上颌窦口下缘黏膜是黏液纤毛传输的重要途径,对上颌窦的引流起着极为重要的作用。
[Abstract]:Objective to observe the treatment of chronic maxillary sinusitis by endoscopic maxillary sinus surgery. Methods Fifty-six patients with unilateral chronic sieve, maxillary sinusitis and nasal polyps were included in the study. Two patients with Lund-Mackay CT score and CT score before operation were randomly divided into group A (n = 28), group B (n = 28) and group B (n = 28). The sino-nasal outcome test-20 SNOT-20 (Chinese version) and the mucociliary transmission time (mucociliary transport time of saccharin test) were used to compare the postoperative efficacy. In addition, the mucociliary transmission pathway was observed by methylene blue staining. Results at 6 months after operation, there were significant differences in SNOT score and Lund-Kennedy score and MTT between the two groups (P0.05) 50 cases of methylene blue flowed out from the lower margin of maxillary sinus orifice and 5 cases from the anterior edge of maxillary sinus orifice. Conclusion (1) in patients with chronic maxillary sinusitis patients with Lund-Mackay CT score (Lund-Mackay CT score 2), the inferior nasal canal combined with fenestration can achieve better curative effect. 2 the mucociliary transmission is an important way of maxillary sinus orifice mucosa. It plays an important role in maxillary sinus drainage.
【作者单位】：吉林大学第二医院耳鼻咽喉科;
【分类号】：R765.9

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