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目的:比较两种上颌窦手术方法的对上颌窦炎治愈率的差异。方法:将慢性上颌窦炎病例116例随机分为A、B两组,采用鼻内窥镜下行上颌窦手术,A组清理中鼻道阻塞因素、切除钩突后,不扩大上颌窦黏膜口,B组清理中鼻道阻塞因素、切除钩突后,切除上颌窦黏膜口。结果:随访12个月以上。依照海口1997年标准,A组75侧,治愈68侧,治愈率为90.7%,B组80侧,治愈74侧,治愈率为92.5%;A组好转7侧,好转率为9.3%,B组好转6侧,好转率为7.5%。结论:鼻内窥镜下两种上颌窦炎处理方法疗效相同。
OBJECTIVE: To compare the differences in the cure rates of maxillary sinusitis between two methods of maxillary sinus surgery. Methods: A total of 116 cases of chronic maxillary sinusitis were randomly divided into two groups: group A and group B, maxillary sinus surgery under nasal endoscopy, group A to clear the obstruction of middle nasal obstruction, B group to clear the obstruction of the middle nasal obstruction, removal of the uncinate process, removal of maxillary sinus mucosa. Results: Follow-up more than 12 months. According to the standard of Haikou 1997, the cure rate was 90.7% in group A 75, the cure rate 90.7%, group B 80, cure 74, the cure rate was 92.5%; group A improved 7, the rate of improvement was 9.3% 6 improved side, the improvement rate of 7.5%. Conclusion: The treatment of two maxillary sinusitis under endoscopic sinus surgery has the same effect.