本文選題：真菌性 + 兩種徑路��； 參考：《廣西醫(yī)科大學(xué)》2014年碩士論文

【摘要】：目的：探討鼻內(nèi)鏡下中鼻道聯(lián)合下鼻道開窗術(shù)與單純鼻內(nèi)鏡下上頜竇開放術(shù)治療真菌性上頜竇炎的療效,分析其病因及治療方法。 方法：回顧性分析我科近年來(lái)收治的70例真菌性上頜竇炎患者的臨床資料.按照采用不同的手術(shù)徑路將其分為兩組,治療組：行鼻內(nèi)鏡下中鼻道聯(lián)合下鼻道開窗術(shù)；對(duì)照組：行單純鼻內(nèi)鏡下上頜竇開放術(shù)。術(shù)后隨訪3個(gè)月～1.5年,平均1年。 結(jié)果：結(jié)合海口及昆明標(biāo)準(zhǔn)對(duì)手術(shù)療效進(jìn)行評(píng)估,治療組35例中治愈32例,好轉(zhuǎn)2例,無(wú)效復(fù)發(fā)1例,總有效率為97.1%%,復(fù)發(fā)率2.9%。對(duì)照組35例中治愈26例,好轉(zhuǎn)6例,無(wú)效復(fù)發(fā)3例,總有效率為91.4%,復(fù)發(fā)率8.6%。兩組患者的臨床療效經(jīng)統(tǒng)計(jì)學(xué)分析,P(=0.032)0.05,差異有統(tǒng)計(jì)學(xué)意義。比較兩組患者手術(shù)時(shí)間、出血量,經(jīng)統(tǒng)計(jì)學(xué)分析,差異無(wú)統(tǒng)計(jì)學(xué)意義,P0.05。 結(jié)論：真菌性上頜竇炎的治療原則是徹底清除病灶、通暢引流、保留鼻竇正常黏膜。鼻內(nèi)鏡下中鼻道聯(lián)合下鼻道開窗術(shù)治療真菌性上頜竇炎的臨床療效明顯優(yōu)于單純鼻內(nèi)鏡下上頜竇開放術(shù),不僅可以更徹底清除病變組織,而且具有創(chuàng)傷小、復(fù)發(fā)率低、利于術(shù)后竇腔沖洗的優(yōu)點(diǎn),值得臨床上推廣應(yīng)用。
[Abstract]:Objective: to investigate the curative effect of endoscopic middle nasal canal combined with inferior nasal canal fenestration and simple endoscopic maxillary sinus opening in the treatment of fungal maxillary sinusitis, and to analyze the etiology and treatment of fungal maxillary sinusitis. Methods: the clinical data of 70 cases of fungal maxillary sinusitis treated in our department in recent years were analyzed retrospectively. The patients were divided into two groups according to different operative paths: the treatment group was treated with endoscopic middle nasal canal combined with inferior nasal canal fenestration and the control group was treated with simple endoscopic maxillary sinus surgery. Postoperative follow-up ranged from 3 months to 1.5 years, with an average of 1 year. Results: according to the criteria of Haikou and Kunming, 32 cases were cured, 2 cases were improved, 1 case was ineffective, the total effective rate was 97.1 and the recurrence rate was 2.9% in the treatment group. In the control group, 26 cases were cured, 6 cases improved, 3 cases failed to recur, the total effective rate was 91.4 and the recurrence rate was 8.6%. The clinical effects of the two groups were statistically analyzed, and the difference was statistically significant. The operation time and bleeding volume were compared between the two groups, and the difference was not statistically significant (P 0.05). Conclusion: the treatment principle of fungal maxillary sinusitis is to thoroughly clear the lesion, clear the drainage and preserve the normal mucosa of the paranasal sinus. The clinical effect of endoscopic middle nasal canal combined with inferior nasal canal fenestration in the treatment of fungal maxillary sinusitis is significantly better than that of simple endoscopic maxillary sinus surgery. It not only can remove the lesion more thoroughly, but also has less trauma and low recurrence rate. It is beneficial to sinus irrigation after operation and is worth popularizing in clinic.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R765.42

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本文編號(hào)：2039468