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目的探讨经鼻内镜手术治疗额窦病变的方法及疗效。方法经CT明确诊断的额窦病变33例(56侧),以CT扫描成像为基础在鼻内镜下以鼻丘气房、钩突附着上缘及筛泡前上缘为标记开放额隐窝及额窦。结果所有手术最终找到并开放额窦,无严重并发症发生。术后鼻内镜检查,随访3~18个月。27侧痊愈,额窦口开放引流良好,炎症全部消失;21侧有效,症状明显改善;8侧无效。结论经鼻内镜手术治疗额窦病变应密切参考CT扫描影像,准确定位额窦口。去除额隐窝处病变,充分开放额窦口引流是治疗额窦病变的关键。
Objective To investigate the method and efficacy of endoscopic sinus surgery for frontal sinus lesions. Methods Thirty-three patients (56 sides) with frontal sinus lesions diagnosed by CT were enrolled in this study. The nasal endoscope was used to mark the open frontal crypt And frontal sinus. Results All operations finally found and opened the frontal sinus, no serious complications occurred. Postoperative endoscopic examination, followed up for 3 to 18 months. 27 side of the cure, frontal sinus opening and drainage well, all the inflammation disappeared; 21 side effective, the symptoms improved significantly; 8 side invalid. Conclusion Nasal endoscopic sinus surgery for frontal sinus lesions should be closely related to CT scan images, accurate positioning frontal ostium. Removal of frontal recess lesions, the full amount of open frontal sinus drainage is the treatment of frontal sinus lesions.