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鼻内窥镜手术上颌窦自然开口的处理
引用本文:田广永,张毅,赵艳梅,孙滨滨. 鼻内窥镜手术上颌窦自然开口的处理[J]. 中国临床医学, 2003, 10(5): 715-716
作者姓名:田广永  张毅  赵艳梅  孙滨滨
作者单位:河南大学淮河医院耳鼻喉科,开封,475000
摘    要:目的 :通过对鼻内窥镜手术不同术式的治疗效果的观察 ,探讨慢性上颌窦炎、鼻息肉的治疗方法。方法 :75例慢性鼻窦炎及鼻息肉患者随机分成两组 ,治疗组 4 0例 ,清除中鼻道病变及异常结构不扩大上颌窦自然开口。对照组 35例术中切除中鼻道病变及异常结构的同时扩大上颌窦自然开口。术后随访 1年以上。结果 :两组病例治愈率无明显差异 (χ2 =0 .0 3 P >0 .0 5 ) ,治疗组减少手术操作 ,减少并发症。结论 :慢性鼻窦炎及鼻息肉手术中主要清除窦口周围异常结构及病变 ,上颌窦自然开口如无明显狭窄不必扩大

关 键 词:鼻内窥镜手术 上颌窦自然开口 处理 鼻窦炎 鼻息肉 外科手术

The Management of the Ostia of the Maxillary Sinus in Endoscopic Sinus Surgery
Tian Guangyong Zhang Yi Zhao Yanmei,et al.. The Management of the Ostia of the Maxillary Sinus in Endoscopic Sinus Surgery[J]. Chinese Journal Of Clinical Medicine, 2003, 10(5): 715-716
Authors:Tian Guangyong Zhang Yi Zhao Yanmei  et al.
Abstract:Objective: To evaluate the management of chronic maxillary sinusitis and nasal polyp.Methods: 75 cases of chronic maxillary sinusitis and nasal polyp were studied ,which were divided into 2 groups. The cure groups(40 cases)do not broadened the ostia of the maxillary sinus ,the control groups(35cases) broaden the ostia of the maxillary sinus.Results: The cure rate of the study group was 90%, and the control group was 88.5%. There were no significant difference( P >0.05).Conclusion: It is unnecessary to broaden the ostia of the maxillary sinus in endoscopic sinus surgery,if the ostia of the maxillary sinus have no stricture apparently.
Keywords:Endoscopy Sinusitis Nasalpolyps Operation
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