内窥镜鼻窦术后中鼻道粘膜的超微病理结构变化  

Variations of the middle meatus mucosa ulfrastructure after endoscopic sinus surgery

作　　者：苏志文[1] 邱前辉[1] 陈少华[1] 林华欢[1] 

机构地区：[1]广东省人民医院耳鼻咽喉科,广州510080

出　　处：《临床耳鼻咽喉科杂志》1999年第5期216-218,共3页Journal of Clinical Otorhinolaryngology

摘　　要：探讨鼻内窥镜术后中鼻道粘膜的病理结构变化。方法：筛选１０例经界内窥镜手术后中鼻道粘膜恢复较好的慢性鼻窦炎患者，分别于术后第１、２、３、４个月取中鼻道粘膜进行电镜检查。结果：鼻内窥镜术后第１个月时，粘膜内主要表现为纤维组织增生。术后第２个月，粘膜内纤维增生与溶解并存。术后第３个月，粘膜基本恢复正常结构，但功能不完善。术后第４个月，粘膜恢复正常结构，同时也显示其功能基本恢复。结论：鼻内窥镜术后中鼻道粘膜可以完全恢复正常，但需要至少４个月时间，为了提高治疗效果，较长时间的术后复查是非常重要的。Objective: To explore the variations of middle meatus ultrastructure after endoscopic sinussurgery. Method: 10 cases whose middle meatus mucosa recovered well after undergoing endoscopic sinus surgerywere screened,and postoperative electron microscope examinations of middle meatus mucosa were made in thefirst,second,third and forth month. Result:In the first month after operation,there was obvious fibre proliferation in the mucosa. In the second month,there was fibre proliferation and dissolution existing simultaneously. Inthe third month,the mucosa's structure resumed fundamentally to normal,but its function was not perfect. In theforth month, the mucosa was completely normal and can function normally. Conclusion: The mucosa of middlemeatus can resume completely after endoscopic sinus surgery but need at least four months. It is very importantto have a long time reexamination for improving therapeutic effect.

关 键 词：鼻窦炎 内窥镜术 鼻粘膜 超微结构 

分 类 号：R765.9[医药卫生—耳鼻咽喉科] R765.4[医药卫生—临床医学]