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目的回顾性分析不同入路鼻窦内镜手术治疗非侵袭性鼻窦真菌病的临床效果。方法根本不同术式,将29例分为3组:A组8例,行鼻内镜鼻内、外双径路上颌窦病灶清除术;B组:13例,行鼻内镜鼻内中、下鼻道双径路术;C组:8例,行单纯鼻内镜手术。结果A组8例,治愈率100%;B组13例,复发1例,治愈率92%;C组8例,治愈率100%。3组病理检查均未见窦腔黏膜内有真菌生长。结论治疗非侵袭性鼻窦真菌病,不论采用何种术式,都要达到既微创又彻底去除病灶,使鼻窦引流通畅和通气的目的。
Objective To retrospectively analyze the clinical effects of different approaches for sinus surgery in the treatment of noninvasive sinusitis. Methods were basically different surgical procedures, the 29 cases were divided into 3 groups: A group of 8 patients undergoing endoscopic nasal endoscopic dual-channel maxillary sinus lesion removal; B group: 13 cases under endoscopic nasal, Nasal double-path technique; C group: 8 cases, simple endoscopic sinus surgery. Results A group of 8 cases, the cure rate was 100%; B group of 13 cases, 1 case of recurrence, the cure rate was 92%; C group of 8 cases, the cure rate was 100%. No pathological examination of the three groups of fungi within the sinus mucosa growth. Conclusion The treatment of non-invasive sinusitis, no matter what kind of surgical procedures, should achieve both minimally invasive and complete removal of the lesion, the sinus drainage and ventilation purposes.