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目的评价鼻内窥镜下对上颌窦行双对孔手术在治疗真菌性上颌窦炎的疗效。方法采用国产杭州桐庐内窥镜尖端有限公司生产的鼻内窥镜及监视系统对42例真菌性上颌窦炎病例行鼻内镜手术,彻底清除鼻腔、鼻窦病变组织,扩大上颌窦自然口,并于下鼻道开窗,形成双对孔,使上颌窦得以充分引流。结果术后随防访1~3年,全部病例均治愈,无复发;术前症状如鼻塞、流脓涕、血涕、鼻腔异味感及头痛症状消失;经鼻内镜检查,全部病例中鼻道、上颌窦口通畅,鼻腔及窦腔内黏膜正常,腔内无真菌团块及异常分泌物。结论鼻内镜下行上颌窦双对孔是治疗真菌性上颌窦炎有效方法。
Objective To evaluate the effect of nasal endoscopy on maxillary sinus double-hole surgery in the treatment of fungal maxillary sinusitis. Methods 42 cases of fungal maxillary sinusitis were treated with nasal endoscopy and surveillance system by Tonglu Endoscope Co., Ltd. in Hangzhou. Endoscopic sinus surgery was performed to completely remove nasal and sinus lesions and enlarge the natural orifice of maxillary sinus. In the lower nasal cavity fenestration, the formation of pairs of holes, so that the maxillary sinus can be fully drained. Results All the patients were cured with no recurrence after operation for 1 to 3 years. Preoperative symptoms such as nasal obstruction, purulent nasal discharge, bloody nasal discharge, nasal smell and headache disappeared. In endoscopic examination, Road, maxillary sinus patency, normal nasal and sinus mucosa, intraluminal fungal clumps and abnormal secretions. Conclusion Nasal endoscopic maxillary sinus pairs of holes is an effective method for the treatment of fungal maxillary sinusitis.