[1]张杰 朱丽** 孙健斌 张迎宏 谢立锋 胡伟倪.鼻窦球囊杂交技术治疗慢性鼻窦炎[J].中国微创外科杂志,2019,01(11):1020-1023.
　Zhang Jie,Zhu Li,Sun Jianbin,et al.Treatment of Chronic Sinusitis by Hybrid Technique Using Balloon[J].Chinese Journal of Minimally Invasive Surgery,2019,01(11):1020-1023.
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鼻窦球囊杂交技术治疗慢性鼻窦炎()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年11期
页码:
1020-1023
栏目:
临床研究
出版日期:
2019-11-25

文章信息/Info

Title:
Treatment of Chronic Sinusitis by Hybrid Technique Using Balloon
作者:
张杰 朱丽** 孙健斌 张迎宏 谢立锋 胡伟倪
（北京大学第三医院耳鼻咽喉科，北京100191）
Author(s):
Zhang Jie;  Zhu Li;  Sun Jianbin;  et al.
Department of Otolaryngology, Peking University Third Hospital, Beijing 100191, China
关键词:
功能性鼻内镜鼻窦手术; 鼻窦球囊扩张术; 慢性鼻窦炎
Keywords:
Functional endoscopic sinus surgery; Balloon dilatation of nasal sinuses; Chronic sinusitis
文献标志码:
A
摘要:
目的探讨鼻窦球囊杂交手术治疗慢性鼻窦炎的安全性及有效性。方法回顾性分析2018年1~12月鼻窦球囊杂交手术治疗慢性鼻窦炎20例（54个鼻窦）资料。采用功能性鼻内镜鼻窦手术（functional endoscopic sinus surgery，FESS）切除鼻息肉、肥大的钩突、结构异常的部分中鼻甲等，鼻窦球囊导管扩张术扩大病变鼻窦自然窦口，清除窦内病变。结果96%（23/24）上颌窦、86%（6/7）额窦、86%（6/7）蝶窦、0%（0/16）筛窦完成鼻窦球囊杂交手术。手术时间（67.3±171）min，术中出血量（22.0±11.2）ml，均在术后1~2 d取出鼻腔填塞，术后1~3 d出院。无大出血，无眼眶肿胀、脑脊液鼻漏等并发症，无术后感染、发热等。门诊随访6~9个月，术后脓涕、鼻塞、头痛等症状消失，内镜下未见息肉复发，无鼻腔粘连，无窦口闭合，CT检查见经手术治疗的鼻窦无明显软组织影。LundKennedy内镜评分、LundMackay鼻窦CT评分、SNOT20调查评分较术前明显降低，差异具有统计学意义(P<0.05)。结论鼻窦球囊杂交手术治疗慢性鼻窦炎安全、有效。
Abstract:
ObjectiveTo study the safety and therapeutic effectiveness of hybrid technique using balloon for chronic sinusitis.MethodsThe data of 20 patients (54 sinuses) with chronic sinusitis treated by hybrid technique using balloon from January 2018 to December 2018 were retrospectively analyzed. The functional endoscopic sinus surgery (FESS) was used to deal with nasal polyps, hypertrophic uncinate process and part of the middle turbinates with abnormal structure. The diseased sinuses were dilated by balloon before removing the lesions. ResultsThe hybrid technique using balloon was performed in 96% (23/24) maxillary sinuses, 86% (6/7) frontal sinuses, 86% (6/7) sphenoid sinuses and 0% (0/16) ethmoid sinuses. The operative time was (67.3±17.1) min, and the bleeding volume was (22.0±11.2) ml. The nasal packing was removed 1-2 days after operation and all the patients were discharged 1-3 days after operation. No massive bleeding, orbital swelling, cerebrospinal fluid rhinorrhea, postoperative infection, fever or other complications were observed. The outpatient followup lasted for 6-9 months. Symptoms such as pus, nasal obstruction and headache disappeared. No recurrence of polyps, no nasal adhesion and no closure of sinus orifice were found under endoscopy. No obvious soft tissue shadow in the nasal sinuses requiring surgery treatment was found by CT examination. The LundKennedy scores, LundMackay scores and SNOT20 scores were significantly lower than those before operation, and all the results were statistically significant (P<0.05).ConclusionHybrid technique using balloon is a safe and effective surgical method in the treatment of chronic sinusitis.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（61473278）**通讯作者，Email：prlizhu@qq.com
更新日期/Last Update: 2020-03-03