鼻窦球囊扩张术的疗效分析及使用要点

文星杰, 赵胤, 王海涛, 等. 鼻窦球囊扩张术的疗效分析及使用要点[J]. 临床耳鼻咽喉头颈外科杂志, 2015, 29(16): 1463-1466. doi: 10.13201/j.issn.1001-1781.2015.16.013
引用本文: 文星杰, 赵胤, 王海涛, 等. 鼻窦球囊扩张术的疗效分析及使用要点[J]. 临床耳鼻咽喉头颈外科杂志, 2015, 29(16): 1463-1466. doi: 10.13201/j.issn.1001-1781.2015.16.013
WEN Xingjie, ZHAO Yin, WANG Haitao, et al. The curative effect analysis of balloon sinuplasty and the main points of its use[J]. J Clin Otorhinolaryngol Head Neck Surg, 2015, 29(16): 1463-1466. doi: 10.13201/j.issn.1001-1781.2015.16.013
Citation: WEN Xingjie, ZHAO Yin, WANG Haitao, et al. The curative effect analysis of balloon sinuplasty and the main points of its use[J]. J Clin Otorhinolaryngol Head Neck Surg, 2015, 29(16): 1463-1466. doi: 10.13201/j.issn.1001-1781.2015.16.013

鼻窦球囊扩张术的疗效分析及使用要点

详细信息
    通讯作者: 杨景朴,E-mail:jingpu2004@sina.com
  • 中图分类号: R765.4

The curative effect analysis of balloon sinuplasty and the main points of its use

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  • 目的:评估鼻窦球囊扩张术的安全性和有效性,并对其使用要点进行总结。方法:回顾性分析行单纯鼻窦球囊扩张术及鼻窦球囊扩张术联合其他术式的15例患者(41个鼻窦)资料,对照其术前及术后的鼻窦CT扫描及鼻内镜检查结果,并通过分析Lund-Mackay鼻窦CT评分和鼻腔鼻窦结局测试-20(SNOT-20)评分来观察手术效果和了解患者主观症状,评价患者术后病情改善情况。结果:所有患者术后均未出现眼眶及颅脑并发症,鼻内镜检查鼻窦口开放良好,鼻窦CT显示病灶明显消失。Lund-Mackay鼻窦CT评分及SNOT-20评分显示,所有患者术后3、6个月的分数对比基线值明显改善(均P<0.01)。单纯行球囊扩张术的患者与鼻窦球囊扩张术联合其他术式的患者之间无明显差异,手术疗效均十分明显,主观症状明显改善。结论:鼻窦球囊扩张术不仅能有效扩张鼻窦口,同时也保留了鼻腔鼻窦的正常组织结构,手术微创,黏膜破坏小,出血少,患者术后恢复快,安全有效,大大减少了住院时间。该术式也可联合标准的鼻内镜手术,以达到更好的治疗效果,值得临床推广及应用。
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出版历程
收稿日期:  2015-05-06

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