鼻微创外科治疗30例后组鼻窦炎性病变  

Treatment of 30 cases inflammatory pathological changes of posterior nasal sinuses by nasal mili-wounded surgery

作　　者：郑家法[1] 艾文彬[2] 龚永谦[3] 邱元正[3] 

机构地区：[1]南华大学南华医院耳鼻喉科,湖南衡阳421002 [2]南华大学附二医院耳鼻喉科,湖南衡阳421001 [3]中南大学湘雅医院耳鼻喉科,湖南长沙410008

出　　处：《中国医学工程》2006年第6期643-645,共3页China Medical Engineering

摘　　要：目的提高对后组鼻窦炎性病变的症状、体征的认识和首诊准确率,探讨鼻微创外科治疗后组鼻窦炎性病变的疗效。方法分析30例后组鼻窦炎性疾病的临床表现及鼻微创外科治疗的优势。结果30例病人中,26例术后临床症状逐步消失,4例视力无缓解;所有病人窦口宽畅,引流良好;随访半年无1例复发。结论微创外科手术是治疗后组鼻窦炎性病变的理想方法,具有径路安全、视野清楚、痛苦小、疗效肯定和术后不易复发等优点。强调术前CT检查、术中掌握技术操作及术后局部换药等处理。[Objective] To increase the recognition and the correct rates of first diagnosing to the symptom and physical sign of inflammatory pathological changes of posterior nasal sinuses, to explore the curative effect that nasal mill-wounded surgery treats inflammatory pathological changes of posterior nasal sinuses. [Method] We analyzed the clinical manifestation of 30 cases inflammatory pathological changes of posterior nasal sinuses and the predominance of nasal mili-wounded surgery. [Results] Clinial symptom gradually vanished after operation for 26 cases, 4 cases had no sight relief; All patients had wide and smooth Ostia and good draining; No case recurred in the process of follow-up visit for half a year. [Conclusion] Mili-wounded surgery is a good method to treat posterior nasal sinuses pathological changes, which has many merits such as safe path, clear vision, less pain, positive curative effect and less recurrence. CT examination before operation, technique skill on operation and part change of dressing after operation are emphasized.

关 键 词：鼻内镜 后组鼻窦 外科 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]