球囊导管鼻窦切开术：一年随访——结果及在功能性鼻内镜鼻窦手术中的作用
Balloon catheter sinusotomy: one-year follow-up--outcomes and role in functional endoscopic sinus surgery.
作者信息
Kuhn Frederick A, Church Christopher A, Goldberg Andrew N, Levine Howard L, Sillers Michael J, Vaughan Winston C, Weiss Raymond L
机构信息
Georgia Nasal and Sinus Institute, Savannah, GA 31404, USA.
出版信息
Otolaryngol Head Neck Surg. 2008 Sep;139(3 Suppl 3):S27-37. doi: 10.1016/j.otohns.2008.05.010.
OBJECTIVE
The primary objective was to assess the long-term effectiveness of balloon catheter sinusotomy.
METHODS
Patients who had sinus ostia dilated with balloon catheters were prospectively evaluated 1 year after surgery with nasal endoscopy, a CT scan, and the Sino-Nasal Outcome Test (SNOT-20).
RESULTS
Sixty-six patients (202 sinuses) were examined. One hundred seventy-two of 202 sinus ostia (85%) were endoscopically patent, 1 percent (2/202) were nonpatent, and ostial patency could not be determined by endoscopy in 28 of 202 (14%). In these "indeterminate" sinuses, the CT scans were normal in 13, implying functional patency in 91.6 percent of sinuses (185/202). Sinus CT scan scores were 1.95 at 1 year versus 8.89 at baseline (P < 0.001), and 1-year SNOT-20 scores (0.91) were significantly improved from baseline (2.14, P < 0.0001).
CONCLUSION
Balloon catheter sinusotomy results were durable over the study period, showing long-term effectiveness.
目的
主要目的是评估球囊导管鼻窦切开术的长期疗效。
方法
对采用球囊导管扩张鼻窦开口的患者在术后1年进行前瞻性评估，评估内容包括鼻内镜检查、CT扫描以及鼻窦结局测试（SNOT-20）。
结果
共检查了66例患者（202个鼻窦）。202个鼻窦开口中有172个（85%）经鼻内镜检查显示通畅，2个（1%）不通畅，202个中有28个（14%）经鼻内镜检查无法确定开口是否通畅。在这些“不确定”的鼻窦中，13个鼻窦的CT扫描结果正常，这意味着91.6%的鼻窦（185/202）功能通畅。鼻窦CT扫描评分在1年时为1.95，而基线时为8.89（P < 0.001），1年时的SNOT-20评分（0.91）较基线时（2.14）有显著改善（P < 0.0001）。
结论
在研究期间，球囊导管鼻窦切开术的效果持久，显示出长期疗效。
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