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目的探讨导尿管球囊扩张法预防和治疗上颌窦造口术后窦口狭窄的疗效。方法选取双侧慢性鼻窦炎患者85例,均于鼻内镜下行功能性鼻窦开放术及中鼻道上颌窦造口术。选择右侧鼻腔为实验组,左侧为对照组,双侧均于术后1周、2周、4周、2月、4月、6月定期行鼻内镜复查。实验组于术后2周、4周、2月、4月复查时同期行小儿双腔球囊导尿管扩张上颌窦口4 h。术后6月分别测量双侧上颌窦窦口大小。结果实验组的治愈率和窦口大小均优于对照组,差异有统计学意义(P<0.05)。结论导尿管球囊扩张法能有效预防和治疗上颌窦造口术后窦口狭窄,且安全经济,治愈率较高。
Objective To investigate the curative effect of catheter balloon dilation on the prevention and treatment of sinus ostium stenosis after maxillary sinus ostomy. Methods Eighty-five patients with bilateral chronic sinusitis were enrolled in this study. All patients underwent functional endoscopic sinus surgery and middle maxillary sinus ostomy. Select the right nasal cavity as the experimental group, the left side of the control group, both sides of the postoperative 1 week, 2 weeks, 4 weeks, February, April, June regular endoscopic examination. In the experimental group, the pediatric double-lumen balloon catheter was dilated for 4 h in the same period at 2 weeks, 4 weeks, 2 months and 4 months after operation. Six months after surgery were measured bilateral maxillary sinus ostium size. Results The cure rate and the size of the ostium in the experimental group were better than those in the control group (P <0.05). Conclusion Catheter balloon dilatation method can effectively prevent and treat sinus stenosis after maxillary sinus ostomy, and is safe and economical with a high cure rate.