保守治疗孤立性蝶窦炎的疗效观察

目的探讨鼻窦负压置换法等保守治疗方法在治疗孤立性蝶窦炎患者中的疗效。方法回顾性分析行鼻窦负压置换等保守方法治疗的7例选择性孤立性蝶窦炎患者的临床资料。结果7例孤立性蝶窦炎患者中，5例于治疗后第2～5天症状开始减轻，治疗1个疗程后，痊愈2例，有效3例，无效2例。有效的3例患者继续第二疗程的保守治疗，痊愈2例，有效1例，该患者拒绝鼻内镜手术治疗，2个月后再次出现头痛症状，保守治疗有效。无效的2例患者行鼻内镜手术治疗后痊愈。结论鼻窦负压置换等保守治疗方法可以使一部分孤立性蝶窦炎患者免于手术治疗而达到治愈目的。

Therapeutic Effect of Nasal Sinus Displacement Method on Isolated Sphenoid Sinusitis

objective To analyze therapeutic effect of nasal sinus displacement method on isolated sphenoid sinusitis. Methods Twenty-one cases with isolated sphenoid sinusitis were retrospectively reviewed, Seven of Which were treated with conservative treatment including sinus displacement method and medication. Results Five of seven cases with isolated sphenoid sinusitis began to take a turn for the better after conservative treatment for 2 -5 days. After the first course of treatment, 2 cases were cured, 3 cases were improved, and 2 cases were ineffective.After the second course of treatment on 3 cases, 2 cases were cured, 1 cases were improved. Two cases which were ineffective were cured by endoscopic surgery. Conclusion. Conservative treatment including sinus displacement method and medication may cure part of cases with isolated sphenoid sinusitis without suffering from surgery procedures.