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本文报告了翼管神经切断术49例次,经鼻腔术式17次,经上颌窦术式32次。其中治疗血管舒缩性鼻炎与过敏性鼻炎17例:痊愈12例,好转2例;无效3例。治疗复发性鼻息肉14例:痊愈10例;好转4例,获得满意疗效.本手术表明经上颌窦的骨膜下切断术式较为理想,且可不作对孔.本文并介绍了经鼻腔手术扩大视野的几种做法。为防止眼部并发症、不宜采用高频电刀止血烧灼.本文测试结果证明,判定切断是否成功,采用术后泪量不超过术前的20％较为确切。经鼻腔手术似不易将神经切断,一般只是部分切断。故建议此术应用于手临床前,宜先做解剖练习.
This paper reports 49 cases of pterygoid nerve transection, transnasal surgery 17 times, maxillary sinus surgery 32 times. Treatment of vasomotor rhinitis and allergic rhinitis in 17 cases: 12 cases were cured, improved in 2 cases; 3 cases were ineffective. The treatment of recurrent nasal polyps in 14 cases: 10 cases cured, improved in 4 cases, to obtain satisfactory results .This operation shows that the maxillary sinus periostectomy is ideal, and can not make the hole .This article also describes the expansion of the field of vision by nasal surgery Several practices. In order to prevent eye complications, high-frequency electric knife bleeding should not be used.This paper test results show that to determine the success of the cut, the use of postoperative tear is not more than preoperative 20% more accurate. Nasal surgery seems not easy to cut off the nerve, usually only partially cut off. Therefore, it is recommended that this technique be used in pre-clinical, anatomy should be done first practice.