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鼻中隔脓肿既往处理原则为早期切开排脓,防止软骨坏死,如软骨损坏,Mills (1948) 倡用早期软骨植入法,待脓液排净后,取贮藏软骨片置入伤口,可免鼻部畸形。多数学者却认为炎症消退2~3个月后方可进行鼻部成形术。从免疫学方面考虑,软骨抗原较弱,同种昇体软骨移植不会引起免疫反应,且鼻粘膜具有丰富的血液供应,为治疗的有利条件。我们采用了同种异体软骨治疗鼻中隔脓肿一例,近期效果良好,报告于下:
The principle of nasal septum abscess in the past for the treatment of early incision pus to prevent cartilage necrosis, such as cartilage damage, Mills (1948) advocated early cartilage implantation method, until the pus drain, the storage of cartilage fragments into the wound, Ministry of deformity. Most scholars believe that inflammation can subside 2 to 3 months before nasoplasty. From immunological considerations, weaker cartilage antigen, the same kind of ascending cartilage transplantation does not cause immune response, and the nasal mucosa has a rich blood supply, favorable conditions for the treatment. We used allogeneic cartilage treatment of nasal septum abscess, a recent case of good results, the report is as follows: