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目的总结鼻内镜下球囊扩张术治疗儿童上颌窦炎的疗效。方法儿童慢性上颌窦炎19例,Ⅰ型13例,Ⅱ型6例,均在术中清除病变组织,行上颌窦球囊扩张。其中的2例行钩突切除。结果术后随访半年以上,19例均无复发,CT检查显示上颌窦正常。术后6个月上颌窦口内径(62.64±2.12)mm,明显大于术前的(38.71±1.00)mm(P<0.01);窦口鼻道复合体黏膜恢复时间(19.73±1.00)d,明显短于传统功能性鼻内镜手术的(41.57±5.13)d(P<0.05)。结论内镜下球囊扩张术是治疗儿童上颌窦炎、慢性鼻-鼻窦炎的一种有效、简便、安全的新方法。
Objective To summarize the curative effect of nasal endoscopic balloon dilatation on maxillary sinusitis in children. Methods Nineteen children with chronic maxillary sinusitis, 13 patients with type Ⅰ and 6 patients with type Ⅱ, all had diseased tissues removed during operation and balloon dilatation of the maxillary sinus was performed. In 2 cases, the hook was excised. Results The patients were followed up for more than six months and no recurrence was seen in 19 cases. CT examination showed that the maxillary sinus was normal. The diameter of maxillary ostium at 6 months postoperatively was 62.64 ± 2.12 mm, which was significantly higher than that of preoperative (38.71 ± 1.00) mm (P <0.01). Mucosal recovery time of ostiomeatal complex was significantly (19.73 ± 1.00) d Shorter than the traditional functional endoscopic sinus surgery (41.57 ± 5.13) d (P <0.05). Conclusion Endoscopic balloon dilatation is an effective, simple and safe new method for treating maxillary sinusitis and chronic rhinosinusitis in children.