Yang Y, Ma Z Q, Li Y
Fourth Clinical Medical College of Zhejiang University of Traditional Chinese Medicine，Hangzhou，310053，China.
Department of Otolaryngology，Hangzhou First People's Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Jan;34(1):23-27. doi: 10.13201/j.issn.1001-1781.2020.01.006.
To compare the clinical efficacy and safety of frontal sinus balloon for frontal sinus surgery with frontal sinus balloon dilatation and conventional frontal sinus surgery. One thousand four hundred and eighty-nine cases from 2013 to 2018 were collected. The surgical methods included frontal sinus balloon dilatation, frontal sinus balloon assisted FESS and Stammberger frontal sinus removal. The preoperative and postoperative data of 1 125 patients were collected and the rate of loss of follow-up was 24.44%. All patients underwent endoscopic, CT and symptom scores before and after operation. The postoperative follow-up period ranged from 6 months to 8 years. The postoperative nasal endoscopy and CT review were recorded. Lund-Kenndy endoscopic scores were performed on the frontal sinus mucosa of patients 1-6 months after surgery. In the simple frontal sinus balloon dilatation group, 59 cases were cured, 37 cases were cured, 20 cases were improved, 2 cases were ineffective, and the frontal sinus opening rate was 96.61%. The frontal sinus balloon assisted FESS group was 609 cases, 381 cases were cured, and 169 cases were improved. There were 59 cases ineffective, 8 of which were cured after the second operation, and the frontal sinus opening rate was 90.31%; Stammberger went to the eggshell group in 457 cases, recovered 285 cases, improved in 122 cases, and ineffective in 50 cases, including 13 cases. After the second operation, the patient was cured after the second operation. Two cases of postoperative sinus ostium adhesions were cured. The balloon was dilated after the expansion of the outpatient clinic. The frontal sinus opening rate was 89.06%. Nasal endoscopy scores were statistically analyzed using SPSS 19.0 software. Frontal sinus balloon dilatation is suitable for most frontal sinus lesions and is safer than traditional endoscopic frontal sinus surgery. Compared with Stammberger's eggshell surgery, frontal sinus balloon dilatation has the advantages of simple and easy operation, short learning curve, convenient and accurate, and worthy of clinical promotion.
比较额窦球囊扩张术与传统额窦手术用于额窦手术的临床疗效及安全性。收集2013年至2018年的1489例病例。手术方法包括额窦球囊扩张术、额窦球囊辅助功能性鼻内镜鼻窦手术（FESS）及Stammberger额窦切除术。收集1125例患者的术前及术后资料，失访率为24.44%。所有患者术前行鼻内镜、CT及症状评分，术后随访6个月至8年，记录术后鼻内镜及CT复查情况。术后1 - 6个月对患者额窦黏膜行Lund-Kenndy鼻内镜评分。单纯额窦球囊扩张组59例治愈，37例好转，20例改善，2例无效，额窦开放率为96.61%。额窦球囊辅助FESS组609例，381例治愈，169例好转，59例无效，其中8例二次手术后治愈，额窦开放率为90.31%；Stammberger去蛋壳组457例，285例恢复，122例改善，50例无效，其中13例二次手术后治愈，2例术后窦口粘连经门诊扩张球囊后治愈，额窦开放率为89.06%。采用SPSS 19.0软件对鼻内镜评分进行统计学分析。额窦球囊扩张术适用于大多数额窦病变，且比传统鼻内镜额窦手术更安全。与Stammberger去蛋壳手术相比，额窦球囊扩张术具有操作简单、学习曲线短、方便准确等优点，值得临床推广。
