慢性上颌窦炎所致面部疼痛患者的鼻内镜鼻窦手术——一项功能对照研究
Endoscopic sinus surgery in individuals with facial pain due to chronic maxillary sinusitis - a functional controlled study.
作者信息
Sanges Giuseppe, Gamerra Mario, Sorrentino Gerardo, De Luca Roberto, Merone Maddalena, Feleppa Michele, Bigal Marcelo Eduardo
机构信息
Headache and Cervico-Facial Pain Service, A.S.L. NA 3, Naples, Italy.
Surgery Department, ?S. Leonardo Hospital?, A.S.L. NA 3, Castellammare di Stabia, Naples, Italy.
出版信息
Arq Neuropsiquiatr. 2014 Aug;72(8):609-12. doi: 10.1590/0004-282x20140092. Epub 2014 Jul 4.
OBJECTIVE
To measure the intra-sinus pressure and the maxillary sinus functional efficiency (MSFE) in individuals with chronic facial pain after conservative or conventional endoscopic maxillary surgery, as well as in controls.
METHOD
Sinus manometry was performed 5 times during inhalation.
RESULTS
The resemblance of pressure values comparing those treated with minimally invasive surgery and controls was remarkable, while traditional surgery significantly decreased intrasinusal pressures. The MSFE was 100% in the three tested times for controls, close to that in those submitted to minimally invasive surgery (98.3%, 98.8%, and 98.0%) and significantly impaired after conventional surgery (48.8%, 52.1%, 48.5 %, p<0.01). All patients submitted to minimally invasive surgery remained pain-free after three months of surgery, relative to 46.7% of the submitted to conventional surgery (p<0.05).
CONCLUSION
Minimally invasive sinus surgery is associated with functionality of the chambers that resemble what is found in normal individuals.
目的
测量保守治疗或传统内镜下上颌窦手术后慢性面部疼痛患者以及对照组的窦内压力和上颌窦功能效率（MSFE）。
方法
在吸气过程中进行5次鼻窦测压。
结果
比较微创手术治疗组和对照组的压力值，两者相似，而传统手术显著降低了窦内压力。对照组在三次测试中MSFE均为100%，接近微创手术组（98.3%、98.8%和98.0%），传统手术后显著受损（48.8%、52.1%、48.5%，p<0.01）。所有接受微创手术的患者在术后三个月均无疼痛，而接受传统手术的患者中这一比例为46.7%（p<0.05）。
结论
微创鼻窦手术与窦腔功能相关，类似于正常个体。
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