鼻內(nèi)鏡手術(shù)治療非侵襲性鼻竇真菌病
鼻內(nèi)鏡手術(shù);真菌;鼻竇,,],鼻內(nèi)鏡手術(shù);真菌;鼻竇,1資料與方法,2結(jié)果,3討論,[參考文獻]
鼻內(nèi)鏡手術(shù)治療非侵襲性鼻竇真菌病 (pdf)[摘要] 目的 探討鼻內(nèi)鏡手術(shù)代替?zhèn)鹘y(tǒng)柯-陸手術(shù)治療非侵襲性鼻竇真菌病的療效。方法 采用Wolf 30°鼻內(nèi)鏡行病側(cè)鉤突切除,篩泡、篩竇內(nèi)有病變者開放篩房,擴大上頜竇開口,清理上頜竇內(nèi)菌團。術(shù)中均用生理鹽水反復(fù)沖洗術(shù)腔,術(shù)后定期鼻內(nèi)鏡下?lián)Q藥。結(jié)果 35例均臨床治愈。33例隨訪6個月~3年,原有癥狀消失,未見復(fù)發(fā),2例失訪。結(jié)論 采用鼻內(nèi)鏡手術(shù)治療非侵襲性鼻竇真菌病,較之傳統(tǒng)的柯-陸手術(shù)創(chuàng)傷小、照明好、清除病灶準(zhǔn)確;不損害鼻腔正常的生理功能;保證鼻竇通氣引流,減少復(fù)發(fā),治愈率高。
[關(guān)鍵詞] 鼻內(nèi)鏡手術(shù);真菌;鼻竇
Treatment of the paranasal sinuses mycosis with endoscopic sinus surgery
LI Xiaohong,KANG Hongjian,WANG Jing.Department of Otolaryngology, the First Hospital of Zibo City, Zibo 255200, China
[Abstract] Objective To evaluate the treatment effect of endoscopic sinus surgery on the paranasal sinuses mycosis. Methods 35 cases of paranasal sinuses mycosis were treated with endoscopic sinus surgery from 1997. The wound was washed with 0.9% NaCl solution during operation ......
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