上鼻甲后下部切除在经鼻内镜蝶窦开放术中的应用  

Application of resecting the bottom rear-end of superior turbinate in the sphenoid sinus surgery by endoscopy

作　　者：沈昌德[1] 黄静江[1] 王传喜[1] 

机构地区：[1]皖南医学院弋矶山医院耳鼻咽喉头颈外科,芜湖241000

出　　处：《安徽医学》2012年第12期1632-1633,共2页Anhui Medical Journal

摘　　要：目的探讨鼻内镜下上鼻甲后下部切除在开放蝶窦中的应用体会。方法 78例蝶窦病变患者在鼻内镜下开放蝶窦,其中全身麻醉25例,局部麻醉53例。术中均切除上鼻甲后下部显露蝶窦开口,并将其扩大。结果所有病例均顺利完成手术,术后无严重并发症。在6个月至1年的随访时间内,78例126侧蝶窦开口通畅,蝶窦黏膜正常或接近正常。结论在鼻内镜下开放蝶窦时,切除上鼻甲后下部能准确定位蝶窦开口,对手术的成功和安全都是非常重要的,是一种有效的手术方式。Objective To explore the application of resecting the bottom rear - end of superior turbinate in the sphenoid sinus surgery by endoscopy. Methods Clinical data of 78 cases with sphenoid sinus lesion （ general anesthesia was performed in 25 cases and localized anesthesia in 53 cases） were analyzed. All the patients received the sphenoid sinus surgery by endoscopy. The bottom rear - end of superior turbinate was resected. The sphenoid sinus apertura was exposed and expanded. Results All the patients completed the surgery successfully. There were no serious complications happened. At the follow - up time of 6 months to 1 year, all sphenoid sinus apertura was unobstructed, and the mucosa was normal or close to normal. Conclusion In the transnasal endoscopic surgery to the sphenoid sinus, resection of the bottom rear - end of superior turbinate can accurately locate the sphenoid sinus aperture, which is very important to the success of the surgery,and is an effective surgical method.

关 键 词：鼻内镜 上鼻甲 蝶窦 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]