目的：探讨鼻内镜上颌窦自然口扩大联合下鼻道开窗治疗霉菌性上颌窦炎的临床疗效。方法将霉菌性上颌窦炎100例随机分为A、B两组，A组43例，采用鼻内镜下上颌窦自然口扩大术，B组57例，采用鼻内镜下经上颌窦自然口扩大联合下鼻道开窗术。结果术后随访6个月评定疗效，A组治愈35例，复发8例，治愈率为81.4%，B组治愈55例，复发2例，治愈率为96.5%,B组明显优于A组，差异有统计学意义。结论鼻内镜下自然口扩大联合下鼻道开窗术式是治疗霉菌性上颌窦炎的有效手段，疗效确切，较鼻内镜下上颌窦自然口扩大术提高了治愈率，降低了复发率。%Objective To investigate the effects of The endoscopic management of fungal maxillary sinusitis with combined approach of intranasal antrostomy in inferior nasal meatus and endoscopic maxillary surgery.Methods One hundred cases of fungal maxillary sinusities were randomly distributed into two groups( group A and group B ). Group A ,which included Forty-three cases,were under endoscopic maxillary surgery, Group B, which included fifty-seven cases,were under endoscopic maxillary surgery and intranasal antrostomy in inferior nasal meatus.Results The outcome of the surgeries after six-month follow-up In group A , 35 cases were cured after the first surgery, 8 cases were in a relapse. the curative rate is 81.4%; In group B, 55 cases were cured after the first surgery, 2 cases were in a relapse. the curative rate is 96.5%. The curative rate of Group B was higher than that of Group A, which is of significant difference between group A and B .ConclusionThe combined approach has a better curative effect, higher curative rate and lower recurrence rate,compared with endoscopic maxillary surgery.
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