鼻中隔和多鼻窦联合手术的疗效观察  

Observation on nasal septum surgery combined with multi-sinus surgery

作　　者：张运东[1] 何纯会[1] 徐长国[1] 刘仁东[1] 包剑英[1] 蔡奇山[1] 

机构地区：[1]随州市中心医院耳鼻咽喉科,湖北随州441300

出　　处：《临床耳鼻咽喉科杂志》2006年第8期360-361,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的:观察鼻中隔、多鼻窦联合手术的治疗效果并探讨其安全可行性。方法:56例鼻腔鼻窦疾病的患者均在局部麻醉下一次性接受鼻中隔矫正术、上颌窦根治术、鼻息肉切除术、筛窦(额窦、蝶窦)开放术及中、下鼻甲手术,并观察术后的疗效和并发症。结果:56例患者均顺利完成手术,随访6个月～2年,治愈30例(53.57%),好转23例(41.07%),无效3例(5.36%),总有效率94.64%,出现并发症20例(35.71%),所有并发症经治疗均获痊愈,无鼻中隔穿孔等严重并发症发生。结论:在局部麻醉下能一次性完成鼻中隔、多鼻窦(鼻鼻窦)联合手术,且不会增加和加重鼻鼻窦手术的并发症;因该术式疗效好,是一种安全可行的手术方法,能明显减少鼻息肉及鼻窦炎的复发。Objective： To observe and summarize the clinical effect of nasal septum surgery combined with multi-sinus surgery and to discuss the safety and feasibility. Method：Fifty-six patients with nasal sinuses and nasal cavity diseases received nasal septal reconstruction, Caldwell-Lue procedure, polypectomy, ethmoidectomy and partial middle or inferior turbinate resection simultaneously under local anesthesia, and the complications after surgery were observed. Result：Operation in fifty-six patients were completed successfully. Thirty cases were cured, the cure rate of 56 case was 53.57%, 23 cases were effective recovered （41.07%）, 3 cases didn＇t recover（5.36%）. The clinical cure rate was 94.64%. No severe complications occured. Conclusion：The nasal septal surgery combined with multi- sinus surgery simultaneously under local anesthesia is effective and safety procedure. It can decrease the recurrence rate of nasal polyp and sinusitis and don＇t increase the rate of complication occurring.

关 键 词：鼻中隔偏曲 鼻窦炎 鼻息肉 外科手术 预后 

分 类 号：R765.31[医药卫生—耳鼻咽喉科]