论文部分内容阅读
对早期鼻息肉的治疗是选用手术还是内科疗法是一个有争议的问题。对严重而广泛的鼻息肉的治疗一致,认为应选用手术治疗,只是在术式的选择上有不同看法。本文作者采用显微镜和内窥镜联合技术对原发性鼻息肉患者经鼻腔行双侧鼻窦手术,所治22例效果良好,术后并发症轻微而少见。手术步骤包括:①肉眼下行鼻中隔矫正术;②显微镜下行筛窦切除(同Rudert氏相仿);③内窥镜下进一步手术。目的在于:(a)检查、清除蝶窦病灶,因蝶窦和周围重要神经血管的关系要求在明视下进行手术操作;(b)开放气房和额窦隐窝,保证额窦引流;(c)检查清除上颌窦病灶。显微镜下手术优点有:(a)放大视野作用;(b)在狭小而深的术野提供立体视野;(c)提供示教机会。另外具有转角窥视的独特作用,使术者借助某些特制
The treatment of early nasal polyps is the choice of surgery or medical therapy is a controversial issue. The treatment of severe and extensive nasal polyps consistent, that surgery should be selected, but different views on the surgical options. In this study, the authors combined the microscopic and endoscopic techniques for nasal sinus surgery in patients with primary nasal polyps, the results of 22 cases of good results, with minor and rare postoperative complications. Surgical procedures include: (1) the naked eye under nasal septoplasty; (2) resection of the ethmoid sinus under microscope (similar to Rudert’s); (3) further surgery under endoscopy. The purpose is to: (a) check and remove the sphenoid sinus lesions due to the relationship between the sphenoid sinus and the surrounding major neurovascular requirements for undergoing surgical procedures under light vision; (b) to open the antrum and frontal sinus crypt for drainage of the frontal sinus; c) check the removal of maxillary sinus lesions. The microscopic advantages of surgery include: (a) magnification of the field of vision; (b) stereoscopic vision in narrow and deep operative fields; and (c) provision of teaching opportunities. In addition there is a unique role of corner peeking, so that surgeons with some special