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[内镜下上颌窦手术后微波辅助治疗]

[The supplement therapy of microwave after endoscopic maxillary sinus surgery].

作者信息

Xu Chunhua, Zhong Yan, Zhang Bing

机构信息

Department of Otorhinolaryngology, First Affiliated Hospital of Anhui TCM College, Hefei 230031.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2003 Oct;17(10):598-9.

Abstract

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 degrees 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.

摘要

目的

观察微波消除内镜下上颌窦手术后上颌窦壁残留病变的治疗效果及术后情况。

方法

采用70度鼻内镜引导,经扩大的窦口对26例(37个部位)患者进行微波凝固治疗。

结果

23例(33个部位)上颌窦壁残留病变被消除,无任何并发症,有效消除率为89.2%(33/37)。17例(22个部位)上颌窦局部感染性分泌物消失。

结论

鼻内镜引导下微波治疗可消除上颌窦壁病变,避免柯陆氏手术等造成的创伤,提高鼻窦内镜手术效果。

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