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目的探讨70°鼻内镜下上颌窦真菌球的手术治疗效果。方法对40例经0°鼻内镜手术(A组)和40例经70°鼻内镜手术(B组)的患者于术后1年时应用电子鼻咽喉镜分别检查两种手术后上颌窦真菌球存在情况,对比两组间的疗效差异。结果所有80例术后1年上颌窦开放口均开放良好。A、B二组病例中,上颌窦内有真菌团块存在者分别为9例和1例,B组疗效优于A组(x~2=7.31,P<0.01)。结论 70°鼻内镜下经中鼻道入路进行上颌窦真菌球手术治疗是一种安全、可靠和有效的治疗方法,比0°手术治疗为优。
Objective To investigate the surgical treatment of maxillary sinus fungal ball under 70 ° endoscopic sinus surgery. Methods One hundred and twenty-two patients undergoing endoscopic sinus surgery (group A) and 40 patients undergoing endoscopic sinus surgery (group B) underwent one-year follow-up examinations of the maxillary sinus The presence of fungal balls contrasts the difference in efficacy between the two groups. Results All 80 cases of open maxillary sinus were open one year after operation. In group A and B, there were 9 cases and 1 case in the maxillary sinus, respectively. The efficacy of group B was better than that of group A (x ~ 2 = 7.31, P <0.01). Conclusion 70 ° nasal endoscopic approach to the maxillary sinus fungal ball surgery is a safe, reliable and effective treatment, better than the 0 ° surgical treatment.