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目的:探讨不同种类的鼻腔鼻窦异物的诊断和治疗。方法:回顾性分析249例鼻腔鼻窦异物患者的临床资料,包括性别、年龄、异物的种类、存留时间、并发症及取出方法。前鼻镜下取出异物179例,其中170例直接取出,9例经鼻咽部脱落进入食管,经消化道排出。全身麻醉鼻内镜下取出异物70例(28.1%),其中65例纽扣电池直接取出,并清理坏死鼻中隔及鼻腔黏膜及软骨;鼻结石2例及筷子3例均由鼻内镜下取出。结果:本组鼻腔鼻窦异物以植物性异物为主(154例,61.8%),62例(24.9%)误诊。采用前鼻镜下直接取出异物179例(71.9%),全身麻醉鼻内镜下探取异物70例(28.1%);16例(6.4%)发生并发症。结论:详细询问病史和必要检查可以提高诊断正确率,鼻腔鼻窦异物重在预防。
Objective: To investigate the diagnosis and treatment of different types of foreign body nasal sinuses. Methods: A retrospective analysis of 249 cases of nasal sinus foreign body in patients with clinical data, including gender, age, type of foreign body, retention time, complications and removal methods. 179 cases of foreign bodies were removed under the anterior nose, of which 170 cases were taken out directly, 9 cases were excreted into the esophagus through the nasopharynx and excreted through the digestive tract. Totally 70 patients (28.1%) were removed under general anesthesia by nasal endoscopy, of which 65 cases were directly taken out of the button cell and necrotic nasal septum and nasal mucosa and cartilage were removed. Two cases of nasal calculi and three cases of chopsticks were removed by endoscopic sinus surgery. Results: The foreign bodies of nasal and paranasal sinuses were mainly plant foreign bodies (154 cases, 61.8%) and 62 cases (24.9%) were misdiagnosed. 179 cases (71.9%) were directly taken out of the anterior nasal cavity, 70 cases (28.1%) were found under general anesthesia endoscopic sinus surgery, and 16 cases (6.4%) were complicated with complications. Conclusion: Detailed history and the necessary examination can improve the diagnostic accuracy, nasal sinus foreign body weight in the prevention.