鼻内镜下额窦手术的临床分析

目的探讨应用鼻内镜进行额窦病变的手术治疗。方法根据CT扫描，结合术中鼻内镜准确定位额窦开口，清理阻塞窦口引流的病变组织，扩大额窦开口，以建立良好的符合生理性的额窦通气引流通道。术后定期冲洗，清理鼻腔及鼻窦。结果术后随访4-24月，全部病例症状消失或改善，无复发情况，无术后严重并发症。结论鼻内镜下额窦手术是一种安全、有效、微创的手术方式，准确寻找并开放额窦开口且保持通畅是手术成功的关键，应彻底清理额隐窝并尽可能保留窦口周围粘膜，正确开放后可获得满意疗效。

The clinical analysis of endoscopic frontal sinus surgery

Objective： To explore the application of endoscopic sinus surgery for the treatment of frontal sinus diseases. Methods： Surgical managements of frontal sinus with transnasal endoscope were done according to CT scanning in combination with accurate positioning of frontal sinus ostium. Removement of the lesions obstructed the frontal sinus drainage and enlargement of frontal sinus ostium were done to establish a physiological ventilation drainage channel of frontal sinus. Postoperative managements including regular lavaging, debridement of nasal cavity and nasal sinus were required. Results： After a follow-up of 4-24 months, the symptoms of all cases were disappeared or improved,and there were no recurrence or serious postoperative complications. Conclusions：Endoscopic sinus surgery is a safe, effective and minimal invasive therapy, searching and opening frontal sinus ostium accurately and keeping it not to be obstructed is the key of success. The lesions of frontal recess should be removed and the mucosa around the sinus ostium should be reserved . The effect will be satisfied with successful operation.