论文部分内容阅读
目的 :探讨鼻内窥镜手术 ( ESS)对病变中鼻甲处理方法与慢性鼻窦炎 II型 2、3期手术疗效及鼻功能恢复之间的关系。方法 :2 1 4例慢性鼻窦炎 II型 2、3期患者行功能性鼻内窥镜手术。中鼻甲病变包括肥厚、泡性、反向弯曲等解剖变异及息肉样变。依中鼻甲病变程度行中鼻甲下缘激光烧灼 ,中鼻甲外侧部矢状切除及外侧部加下部部分切除术。结果 :术后 3～ 6个月中鼻甲形态基本恢复正常 ,无鼻腔粘连发生 ,慢性鼻窦炎 II型 2、3期的治愈好转率 86.4% ( 1 85 /2 1 4) ,无效率 1 3.6% ( 2 9/2 1 4)。结论 :对慢性鼻窦炎 II型 2、3期患者 ,在术中酌情处理病变中鼻甲 ,既防止鼻腔粘连的发生 ,形成一个开放的窦口 -鼻道通气引流系统 ,缩短换药时间 ,提高治愈好转率 ,又符合人体鼻腔生理、解剖功能
Objective: To investigate the relationship between endoscopic turbinate endoscopic surgery (ESS) and the treatment of chronic sinusitis type II and type 2,3 surgery and the recovery of nasal function. Methods: Twenty-four patients with chronic sinusitis type II and type 2,3 underwent functional endoscopic sinus surgery. Middle turbinate lesions include hypertrophy, foam, reverse bending and other anatomical variations and polypoid lesions. According to the level of middle turbinate lesions under the edge of the middle turbinate laser ablation, the lateral middle of the lateral sagittal resection and lateral partial plus partial resection. Results: The morphology of nasal turbinate returned to normal within 3 to 6 months postoperatively, no nasal adhesions occurred. The cure rate of chronic sinusitis II, 2 and 3 was 86.4% (1 85/214), the inefficiency was 1 3.6% (2 9/2 1 4). CONCLUSIONS: Patients with chronic sinusitis type II, type 2 and 3 are treated intraoperatively as they like in order to prevent the occurrence of nasal adhesions and to form an open ostium - nasal passage system to shorten dressing time and improve healing Improvement rate, but also in line with human nasal physiology, anatomical function