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[目的]探讨鼻内窥镜鼻腔中鼻道入路治疗上颌窦真菌球手术疗效。[方法]对45例接受鼻内窥镜入路治疗的上颌窦真菌球患者(治疗组)和30例接受传统上颌窦根治入路手术治疗的患者(对照组)临床资料和术后随访结果进行回顾性。[结果]75例上颌窦真菌球患者面部隆起,鼻腔血性分泌物,鼻塞为主要临床症状。对两种手术方法进行已经1年的随访资料进行比较,两种手术时间没有差异(P﹥0.05),但是手术出血量、住院时间、术后并发症如面部麻木、面部钝痛感灯差异均有统计学意义(P﹤0.05)。[结论]上颌窦真菌球患者,鼻内窥镜鼻腔入路治疗与传统上颌窦根治术治疗比较,手术损伤小,术后并发症少,是治疗上颌窦真菌球病变的理想手术方法。
[Objective] To explore the effect of nasal endoscopic naso-nasal approach for maxillary fungal ball surgery. [Method] The clinical data and postoperative follow-up results of 45 patients with fungal coronal maxillary sinus treated by nasal endoscopy (treatment group) and 30 patients undergoing maxillary sinus surgery (control group) Retrospective. [Results] 75 cases of maxillary sinus fungal ball patients with facial uplift, nasal bloody discharge, nasal obstruction as the main clinical symptoms. There was no significant difference between the two operation methods (P> 0.05). However, the differences of operative bleeding, hospitalization time and postoperative complications such as facial numbness and facial dullness sensation were Statistical significance (P <0.05). [Conclusion] Compared with the traditional maxillary sinus surgery, the treatment of maxillary sinus fungal balls and nasal endoscopic nasal approach is small, with less surgical complications and less postoperative complications. It is an ideal surgical method for the treatment of fungal ball lesions in the maxillary sinus.