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1981年作者曾报道对236例阻塞性鼻息肉合并全鼻窦炎患者施行了鼻息肉摘除和鼻内筛窦切除术。其中101例为双侧性,内有46例手术至少一年者随诊发现约17%(8例)复发。考虑到失败的原因系后组筛窦手术不彻底和未同时清除蝶窦内病变,乃对此复发的8例加上另2例共10例又作了改进的蝶筛窦切除术。该项手术可在全麻或局麻下进行,局麻时鼻内、外都要注射赛洛卡因,必要时术中还要重复注射。如果息肉广泛,可用圈套器套住蒂部前后推移,务求看清鼻腔内解剖标志。手术从中组筛
In 1981, the authors reported that nasal polypectomy and intranasal ethmoidectomy were performed on 236 patients with obstructive nasal polyps and total sinusitis. Among them, 101 cases were bilateral, of which 46 cases were followed up for at least one year, and about 17% (8 cases) were found to be followed up. Taking into account the reasons for the failure of the latter group of ethmoid sinus surgery is not complete and not clear the sphenoid sinus lesions, but this recurrence in 8 cases plus another two cases of a total of 10 cases and made an improved butterfly ethmoidectomy. The surgery can be carried out under general anesthesia or local anesthesia, intracranial anesthesia intradermal and external injection of cocaine, if necessary, repeated intraoperative injection. If the polyp is extensive, can be used to trap the pedicle before and after the pedicle push, in order to see the nasal anatomy signs. Surgery from the group screen