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目的在鼻内窥镜鼻腔鼻窦手术中,摘除鼻息肉、切除筛窦及开放窦口鼻道复合体的同时,再根据病变程度对中鼻甲、钩突、鼻腔黏膜等进行恰当处理,以提高手术疗效。方法在强化局麻下,对51例慢性鼻窦炎鼻息肉患者行鼻内窥镜手术。术后常规使用抗生素激素并换药。结果 51例患者中均随访半年以上,治愈42例(82.4%),好转7例(13.7%),无效2例(3.9%)。术后24h内出血1例,无严重术中术后并发症。结论鼻内窥镜手术治疗慢性鼻窦炎鼻息肉疗效较好,在强化局麻下也可很顺利完成。手术中除对鼻息肉进行彻底钳除外,还应对中鼻甲、钩突、鼻腔黏膜等组织结构进行恰当的处理。在彻底清除病变组织的同时,正常的组织结构得到了最大的保护,可更好地恢复鼻腔鼻窦黏膜纤毛的清除功能,伤口愈合的更好更快,疗效更佳。
Objective In endoscopic nasal sinus surgery, removal of nasal polyps, removal of ethmoid sinus and open sinus osseous complex, while according to the severity of the middle turbinate, uncinate process, nasal mucosa and other appropriate treatment to improve the operation Efficacy. Methods Under the intensified local anesthesia, 51 patients with chronic sinusitis and nasal polyps underwent endoscopic sinus surgery. Postoperative routine use of antibiotics and hormone replacement. Results All 51 patients were followed up for more than six months, 42 cases were cured (82.4%), 7 cases (13.7%) were improved, and 2 cases (3.9%) were ineffective. One case had hemorrhage within 24 hours after operation, and no severe postoperative complications occurred. Conclusion Endoscopic sinus surgery for chronic sinusitis and nasal polyps better effect, under the enhanced local anesthesia can be successfully completed. Surgery in addition to a thorough pliers on the nasal polyps, but also the middle turbinate, uncinate process, nasal mucosa and other organizational structures for proper treatment. In the complete removal of diseased tissue at the same time, the normal tissue structure has been the greatest protection, can better restore nasal sinus mucociliary clearance, wound healing better and faster, better efficacy.