鼻内镜下108例鼻腔扩容术疗效分析  

Analysis on effect of endoscopic nasal cavity surgery expansion in 108 cases

作　　者：郝晓民[1] 刘水明[1] 蔡威仪 何卓君 

机构地区：[1]澳门镜湖医院耳鼻咽喉头颈外科,00853

出　　处：《中华耳鼻咽喉头颈外科杂志》2011年第7期586-588,共3页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：目的 探讨鼻内镜下鼻腔扩容术的疗效.方法 选择108例鼻中隔偏曲和慢性肥厚性鼻炎患者,根据具体病情分别行个性化手术,如鼻中隔偏曲行鼻内镜下鼻中隔成形术或三线减张鼻中隔矫正术;慢性肥厚性鼻炎行鼻内镜下下鼻甲外移术酌情联合下鼻甲等离子消融术或下鼻甲黏膜下切除术及下鼻甲部分切除术等.结果 术后随访3～12个月,有效率为97.2%,患者无头痛,鼻干等并发症发生.结论 鼻内镜下鼻腔扩容术处理鼻中隔偏曲和慢性鼻炎疗效确实.Objective To investigate the efficacy of endoscopic nasal cavity enlarging surgery for the alleviation of nasal obstruction.Methods One hundred and eight patients with deviation of the nasal septum （ DNS） and chronic hypertrophic rhinitis （ CHR） were included in this study.Individualized operations were performed.DNS patients were treated by three line tension relaxing correction or nasal septum plasty.CHR patients were treated by inferior turbinate outfracture in combination with plasma radiofrequency ablation for reducing the volume of nasal soft tissue,sub-mucoperiosteal partial resection of the inferior turbinate or partial inferior turbinectomy.Results All patients were followed for 3-12 months after surgry with an effective improvement in 97.2%.Symptoms of headache or complications of rhinitis sicca were not found.Conclusions Being careful to keep the physiological function of nasal mucosa,the integrity of the nasal septum,appropriate expansion of the nasal cavity volume,and restore ventilation with bilateral symmetry of the nasal cavity,satisfactory relief of nasal obstruction can be achieved.

关 键 词：鼻塞 鼻中隔 鼻甲 内窥镜检查 耳鼻喉外科手术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]