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目的对66例上颌窦真菌病分别采用两种不同手术方式(鼻内镜上颌窦口扩大术和鼻内镜术并下鼻道上颌窦置管冲洗)的疗效观察。方法将66例非侵袭性上颌窦真菌病随机分为两组,每组33例患者均单侧发病,一组行单侧鼻内镜上颌窦口扩大术,一组行鼻内镜术并下鼻道上颌窦置管冲洗治疗术,随访1~5年。回顾性分析比较两种不同处理方式的疗效。结果行单侧鼻内镜上颌窦口扩大术一组治愈29例,复发3例,治愈率为87.9%,行鼻内镜术并下鼻道上颌窦置管冲洗一组治愈32例,复发1例,治愈率为97%。结论鼻内镜术并下鼻道上颌窦置管冲洗治疗术是治疗上颌窦真菌病的一种安全有效的手术方法。
Objective To evaluate the curative effect of 66 cases of maxillary sinus mycosis by two different surgical methods (endoscopic maxillary ostium augmentation and endoscopic sinus surgery and nasal maxillary sinus catheterization). Methods 66 cases of non-invasive maxillary sinus fungal disease were randomly divided into two groups, 33 patients in each group were unilateral disease, a group of unilateral nasal endoscopic maxillary ostium surgery, a group of endoscopic surgery and Nasal sinus tube catheter flushing treatment, followed up for 1 to 5 years. Retrospective analysis of the efficacy of two different treatment methods. Results The unilateral nasal endoscopic maxillary ostium augmentation surgery was cured in 29 cases, 3 cases of recurrence, the cure rate was 87.9%. Endoscopic sinus surgery and nasal maxillary sinus tube flushing were cured in 32 cases and recurrent 1 For example, the cure rate was 97%. Conclusions Nasal endoscopic surgery and nasal maxillary sinus catheterization is a safe and effective surgical method for the treatment of maxillary sinus fungal diseases.