摘要
目的 :观察内镜上颌窦术后采用微波热凝术辅助清除上颌窦内残留的病变组织效果以及对手术疗效的影响。方法 :在 70°内镜引导下 ,导入微波治疗电极 ,经扩大的上颌窦自然口清除上颌窦内下壁、底壁等部位残留的病变组织。结果 :本组 2 6例 (37侧 )患者中 ,2 3例 (33侧 )原窦内残留的病变组织均获清除 ,无复发 ,清除率 89.2 % ;17例 (2 2侧 )上颌窦内炎性分泌物消失。结论 :鼻内镜下微波热凝术可清除上颌窦内残留的病变组织 ,避免再行Caldwell Luc等术式的创伤。提高了内镜鼻窦手术的疗效。
Objective:To observe therapeutic effect of microwave eliminating the remnant lesion located at walls of maxillary sinus after endoscopic maxillary sinus surgery and the effect of postoperative.Method:Twenty six cases (37 sites) were treated with microwave coagulating through enlarged ostium completely by means of 70°endoscopy guided.Result:The remnant lesion located at walls of maxillary sinus of 23 cases (33 sites)were eliminated without any complication and the effective eliminating rate was 89.2 % (33/37).The infected local secretion of maxillary sinus of 17 cases (22 sites) were disappeared.Conclusion:The therapy of microwave by means of nasal endoscopy guided can get rid of the lesion which is located at walls of the maxillary sinus to avoid the trauma caused by Caldwell Luc operation,etc.It can improve the effect of the endoscopic sinus surgery.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2003年第10期598-599,共2页
Journal of Clinical Otorhinolaryngology
关键词
微波
鼻内镜
上颌窦
Microwave
Endoscope
Maxillary sinus
