目的 探讨真菌性上颌窦炎采取视频鼻内镜下经泪前隐窝入路治疗的疗效。方法 选取2017年5月—2018年5月期间真菌性上颌窦炎患者70例,随机分为中鼻道上颌窦开窗术组(n=35,采取中鼻道上颌窦开窗术治疗)与经泪前隐窝入路组(n=35,采取经泪前隐窝入路治疗),对疗效进行观察。结果 相比于中鼻道上颌窦开窗术组,经泪前隐窝入路组术中出血量少,住院时间短,疼痛评分低(均P<0.05);经泪前隐窝入路组患者临床疗效好于鼻道上颌窦开窗术组(P<0.05);经泪前隐窝入路组并发症率及复发率低于中鼻道上颌窦开窗术组(P<0.05)。结论 真菌性上颌窦炎采取视频鼻内镜下经泪前隐窝入路治疗,疗效显著,且术后恢复快,并发症少,值得在临床推广。
Objective To discuss the efficacy of nasal endoscopy via anterior lacrimal recess approach on mycotic nasosinusitis.Methods Seventy patients with mycotic nasosinusitis treated from May 2017 to May 2018 in our hospital were selected and randomly assigned to middle meatal antrostomy group (n=35) and anterior lacrimal recess group (n=35).The efficacy was compared.Results Compared with the middle meatal antrostomy group, the anterior lacrimal recess group showed less intraoperative blood loss, shorter hospitalization time, lower and pain scores, better clinical effect, as well as lower complication rate and recurrence rate (P＜0.05).Conclusion The nasal endoscopy via anterior lacrimal recess approach for the treatment of mycotic nasosinusitis can remarkably increase clinical effect, promote fast recovery, and reduce complications.It is worthy of clinical promotion.
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