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目的探讨慢性鼻窦炎上颌窦窦口不同处理方式的治疗效果。方法 110例慢性鼻窦炎及鼻息肉患者随机分成两组:治疗(A)组60例,清除中鼻道病变及异常结构,但不扩大上颌窦自然开口;对照(B)组50例,术中切除中鼻道病变及异常结构的同时扩大上颌窦自然开口。术后随访半年以上。结果两组病例治愈率相仿(90.0%vs.80.0%)(P>0.05);A组上颌窦窦口瘢痕粘连发生率明显低于B组(3.3%vs.16.0%)(P<0.05)。结论慢性鼻窦炎及鼻息肉手术中主要清除窦口周围异常结构及病变;若上颌窦开口无明显狭窄,则不必扩大处理。
Objective To investigate the treatment effect of different treatment of sinusitis in maxillary sinus of chronic sinusitis. Methods One hundred and ten patients with chronic sinusitis and nasal polyps were randomly divided into two groups: group A (60 cases), middle ear pathological changes and abnormal structures were removed, but the natural opening of maxillary sinus was not enlarged. In control group (B) Removal of middle nasal lesions and abnormal structures while expanding the natural opening of the maxillary sinus. Follow-up more than six months after surgery. Results The cure rates of the two groups were similar (90.0% vs. 80.0%) (P> 0.05). The incidence of maxillary sinus scar adhesions in group A was significantly lower than that in group B (3.3% vs. 16.6%, P <0.05). Conclusions Chronic sinusitis and nasal polyps mainly eliminate the abnormal structures and lesions around the ostium; if there is no obvious stenosis of the maxillary sinus, it is not necessary to expand the treatment.