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本文对临床怀疑慢性上颌窦感染的100例0～12岁儿童病例行窦腔抽脓,与临床体征作对比分析。方法是用套管针经下鼻道进入窦腔,抽吸或冲洗有脓液或粘脓者为阳性,若无脓或仅有淡黄色液体为阴性。抽吸结果与临床症状、体征和 X 线片进行对比。结果发现:抽脓阳性17例,阴性83例。以年龄、性别、鼻阻、鼻溢液、鼻腔和鼻咽部脓液和鼻窦 X 线片作为指标,对比两组统计结果,并经卡方检验无明显差异。作者认为小儿慢性鼻窦感染症状无特殊性,且与增殖体肥大症状不易区别。在临床上常用保守疗法,或经增殖体切除后症状仍存在者,才作窦腔抽吸冲洗,很少需手术治疗。17例抽脓阳性患儿,随访症状均有改善,由于其中14例同时作过增殖体手术,故疗效很难断
In this paper, 100 cases of children aged 0-12 years with suspected chronic maxillary sinus infection were retrospectively analyzed retrospectively. The method is to use the trocar through the nasal cavity into the sinus cavity, suction or flush with pus or pus is positive, if no pus or only a light yellow liquid is negative. Suction results were compared with clinical signs, signs and radiographs. The results showed that: positive in 17 cases of pus, negative in 83 cases. Age, gender, nasal resistance, nasal discharge, nasal and nasopharyngeal pus and sinus X-ray as an index, the two sets of statistical results, and no significant difference by chi-square test. The author believes that children with chronic sinus infection no special symptoms, and proliferative body symptoms is not easy to distinguish. Conservative therapy in clinical practice, or after the removal of the symptoms still exist after the proliferation of the body, only for sinus suction irrigation, minimal surgical treatment. 17 cases of positive children with pus, follow-up symptoms have improved, because of which 14 cases were treated with proliferation of body surgery, so the effect is very difficult to break