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目的:本文报导应用Nd:YAG激光治疗鼻息肉患者98例。方法:98例鼻息肉患者在1%丁卡因液鼻腔粘膜表面麻醉下应用连续输出功率为20~25W的Nd:YAG激光光纤先气化鼻息肉表面,然后再插进鼻息肉深部进行气化凝固。结果:98例中治愈68例(占69.4%),好转30例(占30.6%)。结论:Nd:YAG激光适用于治疗单个鼻腔息肉及中鼻甲息肉样变组织,术时出血少或不出血,由于Nd:YAG激光穿透组织较深,易引起鼻部周围组织肿胀反应。鼻息肉经激光治疗后,息肉消失,可保持鼻腔通畅,激光治疗优点是手术简便,病人痛苦少。
Objective: This article reports 98 cases of nasal polyps treated with Nd: YAG laser. Methods: 98 cases of nasal polyps were treated with nasal mucosal surface anesthesia with 1% tetracaine solution. The Nd: YAG laser fibers with continuous output power of 20-25 W were used to vaporize the surface of nasal polyps first, and then inserted into the deep part of nasal polyps for gasification solidification. Results: 68 cases (69.4%) were cured and 30 cases (30.6%) were cured in 98 cases. Conclusion: Nd: YAG laser is suitable for the treatment of single nasal polyps and middle turbinate polypoid herniated tissues. No bleeding or hemorrhage occurred during the operation. Nd: YAG laser could penetrate deeper tissues and cause swelling of nasal tissues. Nasal polyps after laser treatment, polyps disappear, can keep the nasal smooth, the advantages of laser treatment is easy, less painful patients.