摘要
目的 探讨儿童慢性鼻窦炎的特点 ,提高对本病的诊断及治疗水平。方法 采用鼻内窥镜鼻窦手术治疗儿童慢性鼻窦炎 82例 (139侧 ) ,慢性上颌窦炎 2 4例 (42侧 ) ,慢性筛 -上颌窦炎伴中鼻甲水肿或息肉样变 2 3例 (41侧 ) ,慢性筛 -蝶窦炎 10例 (18侧 ) ,慢性全鼻窦炎 19例 (30侧 ) ,慢性筛窦炎 4例 (6侧 ) ,慢性蝶窦炎 2例 (2侧 )。结果 总治愈率为 (12 1/ 139) 87.1% ,好转 (12 / 139) 8.6 % ,无效 (6 / 139) 4 .3%。 3例术中出现筛骨纸样板损伤 ,术后出现眼睑瘀血 ,10例 (12侧 )术后出现鼻腔粘连 ,无大量出血及其它严重并发症。结论 鼻内窥镜鼻窦手术治疗儿童慢性鼻窦炎是行之有效的方法 ,且具有创伤小、操作精确。
Objective: To investigate the properties of chronic sinusitis in children and to improve diagnose and treatment to this kind of disease. Methods:Eighty-two ( 139 sides) patients who suffered chronic sinusitis in children underwent endoscopic sinus surgery, including twenty-four cases (42 sides ) of chronic maxillary sinusitis, twenty-three cases (41 sides) of chronic maxillary-ethmoid sinusitis with the middle turbinate edema or polypoid tissue, ten cases (18 sides) of chronic ethmoid-sphenoid sinusitis, nineteen cases (30 sides) of chronic total sinusitis, four cases ( 6 sides) of chronic ethmoiditis, two cases ( 2 sides) of chronic sphenoidifis. Results: The cure rate was 87.1% (121/139) ,the effective rate was 8.6% (12/139), the ineffective rate was 4.3 % (6/139). Three cases of them had ethmoid paper-like fracture during the operations and eyelid blood clot after operations. Ten cases ( 12 sides ) of them had nasal adhesion after the operation. There were no severe hemorrhage and other serious complications. Conclusions: The endoscopic sinus surgery is a method of very effective, making less wound ,enabling surgical procedures more precise and eliminating diseased tissues more clean in treatments of sinusitis in children.
出处
《中国内镜杂志》
CSCD
2003年第11期4-6,共3页
China Journal of Endoscopy
关键词
儿童
鼻窦炎
内窥镜
外科
手术
Child
Sinusitis
Endoscopy
Surgery
Operative
