鼻内镜手术微创探讨  

The little wound study of Functional Endoscopic Sinus Surgery

作　　者：陈奕辉[1] 陈光媚[1] 

机构地区：[1]海南省海口市人民医院耳鼻喉科,海南海口570208

出　　处：《海南医学》2007年第3期68-68,21,共2页Hainan Medical Journal

摘　　要：目的提出以筛漏斗为中心的功能性鼻内镜手术指导思路,以求缩短手术时间,减少出血量,增加手术安全系数。方法根据mrsserklinger术式,将其手术程序改变,改变手术以筛房为中心的指导思路,提出以筛漏斗为中心的思路,在切开钩突,剥离暴露筛漏斗后,暂不开放筛房,以减少筛房暴露时间、减少出血量,先扩大额隐窝、或上颌自然开口,最后快速开放前组、后组筛窦。结果本组手术28例均能一次完全达手术目的,无并发症,手术时间及出血量均比对照组少。结论以筛漏斗为中心进行功能性鼻内镜手术,具有缩短手术时间,减少出血量及安全性高的优点。objective To get the key of infundibulm ethmoidate of FESS, In order to shorten the operation time and decrease the heamorrhage quantity, Increace the operation satefy fators. Methods Accordin to mreesserklinger, change it＇s operation procedure, point out the key ideas of infundibulum ethoidate, Instead of the operation, get the key of cellulae ethmoidales of guiding ideology. Temperary no open cellulae ethmoidales after incision uncinate process, come off infundiblum ethmoidate. In order to shorten cellulae athmidales expesetime, maxillaries of frontal recess cells, Afterwards open frontal behind cellulae ethmoidales groups quieldy. Results The 28 cases of this operation can complety reach the purpose, once for all and without complication. The operation time and haemorrhage all less than the compare group. Conclusions The key of infundibulum ethmoidate of FESS can shorten the operation time and decrease the haemorrhage and increase the satefy.

关 键 词：鼻内镜手术 筛漏斗 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]