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目的:回顾分析3种不同入路鼻内镜手术治疗非侵袭性真菌性上颌窦炎的临床效果。方法:根据不同术式,将32例分为3组:A组9例,行鼻内镜鼻内、外双径路上颌窦病灶清除术;B组:15例,行鼻内镜鼻内中、下鼻道双径路术;C组:8例,行单纯鼻内镜手术。结果:A组9例,治愈率100%;B组15例,复发1例,治愈率93%;C组8例,治愈率100%。3组病理检查均未见窦腔黏膜内有真菌生长。结论:治疗非侵袭性真菌性上颌窦炎,不论采取何种术式,都要达到既微创又彻底去除病灶,使鼻窦引流通畅和通气的目的。
Objective: To retrospectively analyze the clinical effects of three different approaches for endoscopic sinus surgery for noninvasive fungal maxillary sinusitis. Methods: According to different surgical procedures, 32 patients were divided into 3 groups: group A (n = 9) undergoing endoscopic nasal and external double-path maxillary sinus debridement; group B (n = 15) Under the nasal pathways; C group: 8 cases, simple endoscopic sinus surgery. Results: A group of 9 cases, the cure rate was 100%; B group of 15 cases, 1 case of recurrence, the cure rate was 93%; C group of 8 cases, the cure rate was 100%. No pathological examination of the three groups of fungi within the sinus mucosa growth. Conclusion: The treatment of non-invasive fungal maxillary sinusitis, regardless of the surgical approach, should achieve both the minimally invasive and complete removal of the lesion, the smooth sinus drainage and ventilation purposes.