魏永佳



鼻内镜鼻窦开放术治疗真菌性鼻窦炎的疗效

魏永佳

【摘要】目的 对真菌性鼻窦炎患者接受鼻内镜鼻窦开放手术治疗的效果进行研究。方法 根据我院2013年9月～2015年6月64例真菌性鼻窦炎患者进行研究分析，共有32例患者接受Caldwell-Luc手术治疗，将其作为对照组，其余32例患者接受鼻内镜鼻窦开放手术治疗，作为观察组，对两组治疗效果和并发症情况进行对比分析。结果 经过治疗后，观察组的临床治疗有效率是96.9%，对照组的治疗有效率是71.9%，观察组的临床治疗有效率比对照组高，结果差异有统计学意义（P＜0.05）。观察组的并发症发生率是3.1%，对照组的并发症发生率是15.7%，两组的并发症发生率对比，差异有统计学意义（P＜0.05）。结论 鼻内镜鼻窦开放术对真菌性鼻窦炎患者具有非常好的治疗效果，手术视野清晰，患者受到的创伤小，可以清除病变结构，保留鼻窦黏膜，临床治疗有效率高，复发率低。

【关键词】真菌性鼻窦炎；鼻内镜鼻窦开放术；临床疗效

Objective To study the fungal sinusitis patients undergoing endoscopic sinus open surgery for treatment. Methods According to 64 cases of fungal sinusitis patients to conduct research and analysis in our hospital from September 2013 to June 2015. A total of 32 cases of patients underwent Caldwell Luc surgery，as the control group，the other 32 patients received endoscopic sinus surgery，as the observation group，of complications and the treatment effect of the two groups were compared and analyzed. Results After treatment，the observation group of the effective rate was 96.9% and the effective rate of the treatment in the control group was 71.9%. In the observation group，the clinical effective rate was higher than in the control group. The results showed significant difference（P＜0.05）. The complication rate of the observation group was 3.1%，the complication rate of the control group was 15.7%，there was statistical difference between the two groups（P＜0.05）. Conclusion Endoscopic sinus surgery in patients with fungal sinusitis has very good therapeutic effect，clear operation visual field，trauma victims，can clear the pathological changes in the structure，keeps sinus mucosa，clinical effective rate of the treatment is high，and has low recurrence rate.

【Key words】 Fungal sinusitis，Endoscopic sinus surgery，Clinical efficacy

真菌性鼻窦炎是因为真菌感染所导致的鼻腔鼻窦疾病［1-3］。以非侵袭型鼻窦炎比较多见，常用的治疗方式为抗生素和放射性治疗，真菌性鼻窦炎常规治疗效果不理想，需手术治疗。此次我院就64例患者接受鼻内镜鼻窦开放术治疗的效果进行探讨分析，现进行以下报道。

1　资料与方法

1.1一般资料

2013年9月～2015年6月我院选取64例真菌性鼻窦炎患者进行研究分析，有32例患者接受Caldwell-Luc手术治疗，作为对照组，有男性患者19例，女性患者13例，年龄最小25岁，最大57岁，有32例作为观察组，接受鼻内镜鼻窦开放手术治疗，有21例男性和11例女性，年龄最小25岁，最大58岁，两组的年龄、性别为及疾病情况差异不具备统计学意义，能够对比分析。……