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慢性鼻窦炎患者计算机辅助手术的结果

Outcome of computer-assisted surgery in patients with chronic rhinosinusitis.

作者信息

Mueller S A, Caversaccio M

机构信息

Department of General Surgery, Spital Oberengadin, Samedan, Switzerland.

出版信息

J Laryngol Otol. 2010 May;124(5):500-4. doi: 10.1017/S0022215109992325. Epub 2009 Dec 11.

Abstract

OBJECTIVE

To compare the complication rates and outcome of computer-assisted versus non-computer-assisted functional endoscopic sinus surgery.

METHODS

We reviewed retrospectively the medical records of 276 patients who had undergone sinus surgery for chronic rhinosinusitis with (n = 108) or without (n = 168) computer assistance, from 1996 to 2004, to determine the incidence of complications and need for revision surgery.

RESULTS

The incidence of complications was 6.5 per cent in the computer-assisted group and 6.0 per cent in the non-computer-assisted group (p = 1.00). In the computer-assisted group, 9.2 per cent needed revision surgery, compared with 10.7 per cent in the non-assisted group (p = 0.84).

CONCLUSIONS

Although our study found no significant difference in complications or revision rates, computer-assisted surgery serves as an important orientation aid during functional endoscopic sinus surgery.

摘要

目的

比较计算机辅助与非计算机辅助功能性鼻内镜鼻窦手术的并发症发生率及手术效果。

方法

我们回顾性分析了1996年至2004年间276例行鼻窦手术治疗慢性鼻窦炎患者的病历,其中108例接受了计算机辅助手术,168例未接受计算机辅助手术,以确定并发症的发生率及再次手术的必要性。

结果

计算机辅助组并发症发生率为6.5%,非计算机辅助组为6.0%(p = 1.00)。计算机辅助组9.2%的患者需要再次手术,非辅助组为10.7%(p = 0.84)。

结论

虽然我们的研究发现并发症或再次手术率无显著差异,但计算机辅助手术在功能性鼻内镜鼻窦手术中是一种重要的定向辅助手段。

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