宋学章, 范锦剑, 朱丽芳. 内镜鼻窦手术加柯-陆手术治疗慢性鼻窦炎疗效观察[J]. 蚌埠医学院学报, 2006, 31(2): 150-151.
    引用本文: 宋学章, 范锦剑, 朱丽芳. 内镜鼻窦手术加柯-陆手术治疗慢性鼻窦炎疗效观察[J]. 蚌埠医学院学报, 2006, 31(2): 150-151.
    SONG Xue-zhang, FAN Jin-jian, ZHU Li-fang. Endoscopic and Caldwell-Luc approaches for treatment of chronic sinusitis[J]. Journal of Bengbu Medical College, 2006, 31(2): 150-151.
    Citation: SONG Xue-zhang, FAN Jin-jian, ZHU Li-fang. Endoscopic and Caldwell-Luc approaches for treatment of chronic sinusitis[J]. Journal of Bengbu Medical College, 2006, 31(2): 150-151.

    内镜鼻窦手术加柯-陆手术治疗慢性鼻窦炎疗效观察

    Endoscopic and Caldwell-Luc approaches for treatment of chronic sinusitis

    • 摘要: 目的: 探讨慢性鼻窦炎的有效手术方法。方法: 分组比较经上颌窦筛窦切除术(Lima'soperation)38例、内镜鼻窦手术(endoscopic sinus surgery,ESS)31例以及内镜鼻窦手术加柯-陆(Caldwell-Luc)手术27例的手术效果。结果: 术后随访12~24个月。Lima术式治愈36.84%,好转52.63%,无效10.53%;ESS术式治愈51.61%,好转38.71%,无效9.68%;ESS加Caldwell-Luc术式治愈77.78%,好转14.81%,无效7.41%。三者比较差异有显著性(P<0.005)。结论: ESS加Caldwell-Luc术式可彻底清除颌筛窦内病灶,通畅各窦口引流,更好地恢复鼻腔、鼻窦功能。

       

      Abstract: Objective: To investigate the surgical principle of chronic sinusitis.Methods: he effect of three surgical procedures was compared.Transmaxillary sinus ethmoidectomy(Lima's operation) was performed on 38 cases,endoscopic sinus surgery(ESS) on 31 cases and endoscopic plus Caldwell-Luc sinus surgery on 27 cases.Results: All the cases were followed up from 12 months to 24 months postoperatively.In the Lima's operation group,36.84% of the patients were cured,52.63% improved and 10.53% had no response;in the ESS group,51.61% of the patients were cured,38.71% improved and 9.68% had no response;in the endoscopic plus Caldwell-Luc sinus surgery group,77.78% of the patients were cured,14.81% improved and 7.41% failed to respond.The difference was significant.Conclusions: The approach of endoscopic plus Caldwell-Luc sinus surgery can remove the focus completely,clear the drainage thoroughly and resume the functions of nose and sinuses better.

       

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