鼻窦球囊导管扩张术治疗慢性额窦炎

目的 评估鼻窦球囊导管扩张术治疗慢性额窦炎的安全性和有效性。方法 前瞻性分析14例(21侧)慢性额窦炎患者的临床资料，术前行冠状位鼻窦CT判定额隐窝开口位置，指导手术操作。采用SNOT 20调查表评价预后。结果 术后随访观察48周，患者主观症状均有不同程度改善，鼻内镜检查见额窦口开放良好，术腔完全上皮化12例(19侧)，窦口周围黏膜水肿息肉样变，窦口狭窄2例(3侧)。术后无脑脊液鼻漏、视力改变、复视等严重并发症。SNOT 20评分显示，术后24周和48周得分较术前基线分数有明显改善(1.08 vs 2.28, P＜0.001；1.17 vs 2.28, P＜0.001)。结论 鼻窦球囊导管扩张术操作安全，能有效缓解窦口阻塞情况，且效果持久。患者术后症状较术前有明显改善，患者对手术效果满意。

Balloon catheter frontal sinusotomy

Objective To evaluate the safety and effectiveness of balloon catheter devices to dilate obstructed frontal sinus ostia or perform sinusotomy. Methods 14 patients(21 ballooned sinuses)who had frontal sinus ostia dilated with balloon catheters were evaluated 48 weeks after surgery, and sinus symptoms were determined by the Sino Nasal Outcome Test (SNOT 20). Results Endoscopy determined that sinusotomy was present in 12 patients (19 ballooned sinuses) and stenotic in 2 patients (3 ballooned sinuses). No serious post-operative complications such as cerebrospinal rhinorrhea, vision change or diplopia occurred. 24-week and 48-week SNOT-20 scores respectively showed significant improvement from baseline (1.08 vs 2.28, P＜0.001) and (1.17 vs 2.28, P＜0.001). Conclusions Besides durable clinical results, balloon catheter technology appears safe and effective in relieving ostial obstruction. Patients were pleased and indicated that they experienced significant symptomatic improvement.