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目的探讨鼻内镜下鼻丘径路开放额窦口治疗额窦病变的疗效和安全性。方法35例(60侧)患者在鼻内镜下开放鼻丘前壁,经鼻丘后内上方开放额窦,清除阻塞额窦口引流的病变组织,并开放额窦口直径>7 mm。结果术中均找到额窦开口,无严重并发症发生,术后随访6～18个月,痊愈32侧,有效25侧,无效3侧。结论鼻内镜下经鼻丘径路微创治疗额窦病变,手术视野好,操作安全,并发症少,值得临床推广应用。
Objective To investigate the efficacy and safety of nasal endoscopic nasolacrimal duct opening in the frontal sinus disease. Methods Thirty-five patients (60 sides) underwent nasal endoscopy to open the anterior wall of the nasal cavity. The frontal sinus was opened on the inner and the upper part of the nasal cavity, and the diseased tissues blocked by the frontal sinus ostium were removed. Results The frontal sinus openings were found during operation. No serious complication occurred. All the patients were followed up for 6-18 months. There were 32 sides recovered, 25 effective and 3 ineffective. Conclusion Nasal endoscopic nasal approach for the treatment of frontal sinus lesions minimally invasive surgery, good field of vision, safe operation, fewer complications, worthy of clinical application.