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1996年以来,我科对86例鼻腔、鼻窦疾病患者行鼻腔鼻窦镜手术,效果良好。现报告如下。 临床资料:本组86例(127侧)中,男62例,女24例;年龄19～69岁,平均41.2岁;病程1～40年,平均13年。既往有手术史28例。患者均有不同程度的鼻塞、脓涕及头痛,经多种药物治疗,效果欠佳。鼻镜检查可见鼻粘膜充血水肿、钩突肥大、鼻息肉及脓性分泌物等。副鼻窦CT扫描示上颌窦、筛窦密度增高,鼻窦密度增高。本组慢性鼻窦炎、鼻息肉Ⅰ型12例、Ⅱ型28例、Ⅲ型37例,上颌窦囊肿5例,鼻腔鼻窦内翻性乳头状瘤4例。 手术方法:患者取坐位或半卧位,采用局麻强化或全身麻醉,鼻腔先用2％地卡因盐酸肾上腺素(2％地卡因20ml+0.1％盐酸肾上腺素2ml)棉片表麻,鼻腔内再适当浸润麻醉。用德国产鼻内窥镜及手术器械。手术在0°、30°、70°鼻窦内窥
Since 1996, our department of 86 cases of nasal sinus disease patients undergoing nasal sinus surgery, the effect is good. The report is as follows. Clinical data: The group of 86 patients (127 sides), 62 males and 24 females; aged 19 to 69 years, mean 41.2 years; duration of 1 to 40 years, an average of 13 years. Previous surgery history in 28 cases. Patients have varying degrees of nasal congestion, purulent nasal discharge and headache, after a variety of drug treatment, the effect is not good. Nasal examination showed nasal mucosal congestion and edema, hypertrophy, nasal polyps and purulent secretions. Paranasal sinus CT scan showed maxillary sinus, ethmoid density increased, sinus density increased. The group of chronic sinusitis, nasal polyps type Ⅰ 12 cases, type Ⅱ 28 cases, type Ⅲ 37 cases, 5 cases of maxillary sinus cysts, nasal sinus inverted papilloma in 4 cases. Surgical methods: patients take sitting or semi-recumbent position, using local anesthesia or general anesthesia, nasal cavity first with 2% digain hydrochloride epinephrine (2% tetracaine 20ml + 0.1% epinephrine hydrochloride 2ml) cotton table ephedra, Nasal proper anesthesia and then infiltration. Made in Germany nose endoscopy and surgical instruments. Surgery at 0 °, 30 °, 70 ° endoscopic sinus