黏膜下下鼻甲骨部分切除联合骨折外移术的临床疗效  

Sub-mucoperiosteous partial resection in combination with fractured-bone removal for chronic hypertrophioc rhinitis

作　　者：郭涛[1] 孙敬武[1] 胡燕明[1] 汪银风[1] 

机构地区：[1]安徽省立医院耳鼻咽喉-头颈外科,合肥230001

出　　处：《山东大学耳鼻喉眼学报》2010年第3期44-46,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨鼻内镜下下鼻甲骨部分切除联合骨折外移术治疗慢性肥厚性鼻炎的疗效。方法为72例伴下鼻甲骨性增生的慢性肥厚性鼻炎患者施行鼻内镜下下鼻甲骨部分切除联合骨折外移术。术后随访6个月~1年。记录术后创面愈合、下鼻甲位置及鼻塞改善情况等。结果 67例随访6个月,治愈57例,好转10例,总有效率100%。55例随访1年后有效率94%。鼻腔无粘连和结痂,创面愈合快,无鼻腔干燥和萎缩。结论鼻内镜下下鼻甲骨部分切除联合骨折外移术是治疗伴下鼻甲骨性增生的慢性肥厚性鼻炎的良好术式。鼻腔解剖结构和生理功能均得到了很好的保护。Objective To evaluate the effect of sub-mucoperiosteous partial resection（SPR） in combination with fractured-bone removal in treatment of chronic hypertrophioc rhinitis（CHR） by nasal endoscopy.Methods Seventy-two patients with CHR received SPR plus fractured-bone removal.The position of the nosepiece,condition of rhinocleisis and wound were recorded after surgery.Results 62 patients were followed up post-operatively for 6 months,and 52 patients were healed and 10 patients had improvements.The effective rate of 48 patients followed up postoperatively for 1 year was 94%.There was no intra-operative complication.All the patients showed no severe synechia,persistent crusting,drying flu at nasal mucosa,or inferior turbinate mucosa atrophy.Conclusion Trans-nasal endoscopic SPR in combination with fractured-bone removal is good for CHR with hyperplasia of the inferior turbinate bone,and it avoids inferior turbinate mucosa damage,as well as restoring the function of cilia.

关 键 词：鼻内镜外科手术 鼻炎 下鼻甲骨 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]