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目的 :比较内窥镜术和柯陆氏术治疗慢性鼻窦炎的疗效。方法 :2 0例患者术前、术后上颌窦腔粘膜组织学分析及临床疗效观察。结果 :鼻内窥镜术后粘膜上皮细胞排列整齐、纤毛数量增多、均匀 ;杯状细胞减少 ;腺体囊状扩张消失 ;炎症细胞浸润消失或明显减少。临床观察内窥镜术治愈率高于柯陆氏术。结论 :内窥镜术治疗鼻窦炎较柯陆氏术更为有效。鼻窦粘膜的组织学改变也可作为鼻窦术后疗效的判定。
OBJECTIVE: To compare the efficacy of endoscopic surgery and Cornell in the treatment of chronic sinusitis. Methods: Twenty patients with preoperative and postoperative maxillary sinus mucosa histological analysis and clinical efficacy. Results: After endoscopic sinus surgery, mucosal epithelial cells arranged neatly, the number of cilia increased, even; goblet cells decreased; glandular dilatation disappeared; inflammatory cell infiltration disappeared or significantly reduced. Clinical observation of endoscopic cure rate is higher than Cori’s surgery. Conclusions: Endoscopic surgery is more effective than Cornell in the treatment of sinusitis. Histological changes of the sinus mucosa can also be used as the determination of the efficacy of sinus surgery.