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目的探讨鼻内镜下中鼻甲3种不同术式治疗筛前神经痛的临床价值。方法对63例筛前神经痛患者,根据病变中鼻甲病变范围程度不同分为3组,A组为中鼻甲成形术27例,B组为中鼻甲部分切除术23例,C组为中鼻甲切除术13例,所有病例随诊6个月以上,对比其并发症发生率及治疗效果。结果 A组治愈26例(96.3%)、好转1例(3.7%);B组治愈20例(86.9%)、好转3例(13.1%);C组治愈9例(69.2%)、好转4例(30.8%)。中鼻甲成形术的新中鼻甲的形态基本正常,嗅裂顺畅。结论鼻内镜下中鼻甲成形术符合鼻腔生理要求,具有创伤小、并发症少的优点,疗效好,是治疗筛前神经痛的理想术式。
Objective To investigate the clinical value of three kinds of endoscopic turbinate middle turbinate treatment of neuralgia in front of screening. Methods Sixty-three patients with pre-screening neuralgia were divided into three groups according to the extent of the lesion. The group A consisted of 27 cases of middle turbinate, the group B of 23 cases of partial middle turbinate, and the group C of middle turbinate Thirteen patients were followed up for more than 6 months in all cases, comparing the incidence of complications and treatment effect. Results In group A, 26 cases (96.3%) were cured and 1 case (3.7%) was cured. In group B 20 cases (86.9%) were cured, 3 cases (13.1%) were cured, 9 cases (69.2%) were cured and 4 cases (30.8%). The shape of the middle turbinate new middle turbinate is normal and the olfactory fissure is smooth. Conclusion Endoscopic turbinate nephrectomy meets the physiological requirements of the nasal cavity, has the advantages of less trauma and fewer complications, and has good curative effect. It is an ideal surgical method for the treatment of anterior ethmo-neuralgia.