【摘要】 目的研究鼻内镜手术上颌窦自然开口不同的方法处理,对术后窦口开放及纤毛功能的影响。方法采用自身配对300例双侧上颌窦病变相近,术中见双上颌窦均有病变的I、Ⅱ型慢性鼻窦炎、鼻息肉患者进行研究。对比一侧上颌窦自然口开放时制作寞口区窦内侧壁黏膜瓣,将其内翻铺入中鼻道,另一侧常规开放扩大上颌窦口,术后观察不同时期窦口开放及纤毛功能情况。结果术后6个月发现术中制作瓣的一侧窦门开放率为96%,无闭锁发生,纤毛清除功能较对侧明显好。结论鼻内镜术中,对有病变的上颌窦口制作瓣,不仅有防止术后窦口闭锁,亦有利于窦内黏膜纤毛功能的保留。更多还原

【Abstract】 Objective To study the influence to the patency of maxillary sinus ostium and function of cilia after treated with different nasal endoscopic surgical operation ofmaxillary sinus ostium. Methods Three hundred patients with type I/II chronic sinusitis and nasal polyp were included.who were with similar bilateral maxillary sinus lesions,and were self matched-paired,made mucosal flap in the insided wall on one side ofthe maxillary sinus ostiums when it’s opened naturally,introversed it and then spreaded to middle nasal meatus,opened and expanded the other side,observed the openness and cilia’s function at different times after the operation.Results Six months after the operation,the opening rate ofthe maxillary sinus which were made mucosal flaps were 96%,no shutting occurred,and the clearance function ofthe cilia was distinctly better than the other side. Conclusions During the operation ofnasal endoscopy,making mucosal flaps for the diseased maxillary sinus ostium can not only prevent the shutting of· the ostium,but also can save the function ofthe cilia.更多还原