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目的:探讨改良鼻腔缩窄术治疗萎缩性鼻炎的疗效和手术体会。方法:46例萎缩性鼻炎患者采用 带蒂颊肌组织瓣加羟基磷灰石微粒人工骨(HA)行下鼻甲成形手术,随访1～5年。结果:46例均1期愈合出院, 随访36例中,痊愈31例(86.1%),显效5例(13.9%),有效率100%。结论:本术式能有效地缩窄鼻腔,既减少了 气流量,阻止气流直接冲击下鼻甲,又避免了干燥刺激,使鼻腔黏膜逐渐再生,达到恢复鼻腔正常结构、改善鼻功 能的目的,远期疗效较其他术式为优。
Objective: To investigate the efficacy and surgical experience of modified nasal constriction in the treatment of atrophic rhinitis. Methods: Forty-six patients with atrophic rhinitis were treated with pedicled buccal muscle flap and hydroxyapatite artificial bone (HA) for inferior turbinate formation. The patients were followed up for 1 to 5 years. Results: All the 46 cases were cured and discharged from the first phase. Among 36 cases who were followed up, 31 cases (86.1%) were cured and 5 cases (13.9%) were cured. The effective rate was 100%. Conclusion: This procedure can effectively narrow the nasal cavity, reducing the air flow, preventing the airflow from directly impacting the inferior turbinate, avoiding the dry stimulation and gradually regenerating the nasal mucosa to achieve the purpose of restoring the normal structure of the nasal cavity and improving the nasal function. Period efficacy than other surgical procedures is excellent.