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作者用波长1.63μm、输出功率10mW的N-38氦氖激光器进行治疗。照射野能量为1～2J/cm~2,照射2～3分钟。激光器的射线沿800μm直径的柔软单纤维(用聚乙烯薄膜保护的石英聚合物)经导管或穿刺针导入蝶窦照射粘膜。综合保守疗法系在持续引流的基础上,除腔内激光治疗外,还附加蝶窦冲洗和充氧疗法,每天2～3次。共治疗蝶窦炎54例,女35例,男19例,年龄15～65岁。其中急性化脓性炎症14例,急性卡他性炎症13例,慢性化脓性炎症15例,慢性增生性炎症5例,慢性脓性息肉性炎症7例。根据患者主观感觉、鼻咽镜检查、X线相和蝶窦冲洗液中病理分泌物消失情况来判定疗效。另外还做了鼻粘膜印迹涂片细
The authors were treated with an N-38 HeNe laser at a wavelength of 1.63 μm and an output power of 10 mW. Irradiation field energy of 1 ~ 2J / cm ~ 2, irradiation 2 to 3 minutes. The laser beam was directed to the sphenoid sinus mucosa through a catheter or needle along a 800 μm diameter soft monofilament (polyethylene polymer protected with a polyethylene film). Comprehensive conservative treatment based on continuous drainage, in addition to intracavitary laser treatment, but also additional sphenoid sinus rinse and oxygen therapy, 2 or 3 times a day. A total of 54 cases of sphenoid sinusitis treatment, 35 females, 19 males, aged 15 to 65 years. Of which acute suppurative inflammation in 14 cases, 13 cases of acute catarrhal inflammation, chronic suppurative inflammation in 15 cases, chronic proliferative inflammation in 5 cases, chronic purulent polyposis inflammation in 7 cases. According to the patient’s subjective feeling, nasopharyngeal examination, X-ray and sphenoid sinus rinse fluid pathological secretion disappeared to determine the efficacy. In addition, a nasal mucosal blot smear was made