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目的:探讨鼻内镜下治疗结构性鼻炎的手术方法和疗效。方法:对84例结构性鼻炎患者行鼻内镜下鼻腔成形术。包括:①三段法下鼻甲功能性部分切除;②中鼻甲成形;③窦口鼻道复合体功能性切除;④鼻中隔黏膜下矫正。手术结合患者主诉症状、鼻内镜检查和鼻窦CT分析,将上述各个单一手术进行组合,制定个性化方案进行手术。结果:术后随访8~12个月,平均10个月。痊愈59例(70.24%),有效21例(25.00%),无效4例(4.76%),总有效率95.24%。结论:结构性鼻炎是由于鼻腔存在多种结构异常而引起功能异常的一类疾病。鼻内镜下鼻腔成形术是对双侧鼻腔进行统一的功能性矫正,恢复鼻腔对称性整体结构的手术,应进行统一规范。
Objective: To explore the surgical method and efficacy of endoscopic treatment of structural rhinitis. Methods: Nasal endoscopic sinus surgery was performed in 84 patients with structural rhinitis. Including: ① three sections of inferior turbinate functional partial resection; ② middle turbinate formation; ③ sinus osseous nasal complex functional excision; ④ nasal septum submucosal correction. Surgery combined with patients complained of symptoms, endoscopy and sinus CT analysis, the above single surgery combined to develop a personalized program for surgery. Results: The patients were followed up for 8 to 12 months with an average of 10 months. 59 cases (70.24%) were cured, 21 cases (25.00%) were effective, 4 cases (4.76%) were ineffective, and the total effective rate was 95.24%. Conclusions: Structural rhinitis is a type of disease caused by the abnormal structure of nasal cavity. Nasal endoscopic nasal plaque is a unified functional correction of the bilateral nasal cavity, nasal symmetry to restore the overall structure of surgery, should be standardized.