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内窥镜术治疗鼻窦炎效果观察及组织学研究
引用本文:钟志生,蒋德澄,陆连英,顾平,汪旭,陆良钧.内窥镜术治疗鼻窦炎效果观察及组织学研究[J].南通医学院学报,2000,20(1):60-61.
作者姓名:钟志生  蒋德澄  陆连英  顾平  汪旭  陆良钧
作者单位:1. 江苏省海安县人民医院耳鼻咽喉科
2. 江苏省海安县人民医院病理科,海安226600
摘    要:目的:比较内窥镜术和柯陆氏术治疗慢性鼻窦炎的疗效。方法:20例患者术前,术后上颌窦腔粘膜组织学分析及临床疗效观察。结果:鼻内窥镜术后粘膜上皮细胞排列整齐,纤毛数量增多,均匀;杯状细胞减少;腺体囊状扩张消失;炎症细胞浸润消失或明显减少。临床观察内窥镜术治率高于柯祟氏术。结论:内窥镜术治疗鼻窦炎较柯祟氏术更为有效。鼻窦粘膜的组织学改变也可作为鼻窦术后疗效的判定。

关 键 词:鼻窦炎  内窥镜  柯陆氏术  组织学

A CLINICAL AND HISTOLOGICAL STUDY WITH ENDOSCOPY IN PATIENTS WITH CHRONIC SINUSITIS
ZHONG Zhisheng,Jiang Dechen,LU Lianying,GU Ping,Wang Xu,LU Liangjun.A CLINICAL AND HISTOLOGICAL STUDY WITH ENDOSCOPY IN PATIENTS WITH CHRONIC SINUSITIS[J].ACTA Academiae Medicinae Nantong,2000,20(1):60-61.
Authors:ZHONG Zhisheng  Jiang Dechen  LU Lianying  GU Ping  Wang Xu  LU Liangjun
Abstract:Objective:To compare endoscopy maneuver with Caldwell-luc operation for the treatment of chronic.sinusitis.Methods:Histology of sinus mucosa were analyzed in 20 individuals pre and post operation.Result:After endoscopy maneuver the epithelial cells queued in order and the cilia increased in number.Chalice cells decreased;adenoid cystic dilated and inflammatory cells disappeared or lessened.The result showed that the cure rate of endoscopy was more effective than the Cadwell-luc operation. Conclusion:Endoscopy maneuver was more effective than Cadwell-luc operation and study on histology change of mucosa can be recommended as useful method in determming effect of operation.
Keywords:Sinusitis  Endoscopy  Caldwell-luc operation  Histology  
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