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作者报告了408例鼻阻塞病人的手术治疗,其中377例伴有典型的鼻中隔偏曲,大多数为单侧鼻甲肥厚,但在“S”形或“Z”字形偏曲时,则为双下甲肥大,此时需作双侧手术。90%病例与中隔成形,鼻成形术或中隔鼻成形术同时进行。90%以上全麻,大部分在门诊进行手术。手术分级取决于鼻甲肥厚程度和粘膜、骨侵犯的程度。最初是作下甲向外骨折手术,53例鼻阻塞得到满意的减轻。由于鼻粘膜明显肥厚引起的中度鼻阻塞56例,进行了粘膜修剪手术。183例进行了下甲前端的全层切除。手术选择标准是:(1)中度下甲
The authors reported on the surgical management of 408 patients with nasal obstruction, 377 of whom had typical deviation of the nasal septum, most of them unilateral turbinate hypertrophy, but double in the “S” or “Z” A hypertrophy, this time for bilateral surgery. Ninety percent of cases are performed simultaneously with septoplasty, rhinoplasty, or nasal septoplasty. More than 90% of the general anesthesia, most of the surgery in the clinic. The grade of the operation depends on the degree of turbinate hypertrophy and mucosal and bone invasion. Initially for surgery under a fracture, 53 cases of nasal obstruction satisfied with the reduction. 56 cases of moderate nasal obstruction due to significant hypertrophy of nasal mucosa, mucosal pruning surgery. 183 cases underwent a full-thickness anterior resection. Surgical selection criteria are: (1) moderate under the nail