论文部分内容阅读
目的:观察鼻内窥镜手术治疗鼻息肉之效果。方法:65例(120侧)鼻息肉患者进行界内窥镜手术,术后随访6~15月。结果:参照FESS-95广州标准,痊愈78侧(65%);好转32侧(26.7%);无效10侧(8.3%)。结论:1)横行切除中鼻甲前五1/3~1/2,有助于减少中鼻甲与鼻腔外侧壁粘连,改善窦道复合体引流,减少息肉复发;2)术前细致研究鼻窦CT片,熟悉鼻窦解剖及术后加强换药,是防止手术并发症和提高疗效的关键。
Objective: To observe the effect of nasal endoscopic surgery for nasal polyps. Methods: Thirty-five patients (120 sides) with nasal polyps underwent endoscopic surgery and were followed up for 6-15 months. Results: According to the FESS-95 Guangzhou standard, 78 sides (65%) were cured, 32 sides improved (26.7%) and 10 sides (8.3%) ineffective. Conclusions: 1) The middle of the middle turbinate resection of the first five 1/3 ~ 1/2, helps to reduce the middle turbinate adhesion to the lateral wall of the nasal cavity to improve sinus drainage and reduce the recurrence of polyps; 2) preoperative careful study of CT , Familiar with sinus anatomy and postoperative strengthening dressing, is to prevent surgical complications and improve the efficacy of the key.