Objective: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. Method: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. Result: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. Conclusion: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.
目的：经鼻内镜额窦球囊扩张术与传统额窦内镜手术相比较，探讨额窦球囊治疗额窦病变的临床疗效及安全性。 方法：收集2013—2018年1 489例涉及额窦的手术，手术方式包括单纯额窦球囊扩张术、额窦球囊辅助功能性鼻内镜下鼻窦手术（FESS）和Stammberger额窦去蛋壳术，收集整理1 125例患者术前及术后数据，失访率为24.44%。数据完整患者术前、术后均进行鼻内镜、CT及症状评分；术后随访6个月~8年，记录术后鼻内镜及CT复查情况。对患者术后1~6个月的额窦黏膜情况进行Lund-Kenndy内镜评分。 结果：单纯额窦球囊扩张组59例，痊愈37例，好转20例，无效2例，额窦口开放率为96.61%；额窦球囊辅助FESS组609例，痊愈381例，好转169例，无效59例，其中8例术后复发行二次手术后痊愈，额窦口开放率为90.31%；Stammberger去蛋壳组457例，痊愈285例，好转122例，无效50例，其中13例术后复发行二次手术后痊愈，2例术后额窦口粘连，在门诊局部麻醉下行球囊扩张后痊愈，额窦口开放率为89.06%。 结论：额窦球囊扩张术适用于大多数额窦区域病变处理，较传统鼻内镜额窦手术安全性高。额窦球囊扩张术与Stammberger去蛋壳术相比较，具有简单易行、学习曲线较短、方便精准等优势，值得临床推广。.
Keywords: Stammberger's eggshell removal; endoscopy; frontal sinus balloon dilatation; sinusitis.
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