鼻内镜下鼻腔扩容术127例疗效分析  

Effect of endoscopic nasal cavity expansion surgery:analysis of 127 cases

作　　者：罗小鹏[1] 覃继新[1] 龙红兵[1] 廖培生[1] 高欣[1] 刘津[1] 

机构地区：[1]右江民族医学院附属医院耳鼻喉科,百色533000

出　　处：《右江医学》2014年第1期81-83,86,共4页Chinese Youjiang Medical Journal

摘　　要：目的 探讨鼻内镜下鼻腔扩容术对鼻腔结构异常致鼻塞患者的疗效.方法 选择127例鼻中隔偏曲、慢性肥厚性鼻炎及慢性鼻窦炎患者,根据病变的不同采用不同手术方式或术式组合（包括鼻中隔矫正术、下鼻甲骨折外移、等离子部分消融、黏膜下切除、部分切除术、鼻窦开放术等）.结果 术后随访3～36个月,显效率为75.59%,有效率为24.41%,总有效率达100%.结论 鼻内镜下鼻腔扩容术处理鼻中隔偏曲、慢性肥厚性鼻炎和慢性鼻窦炎等鼻腔结构异常致鼻塞患者疗效确切.Objective To explore the efficacy of endoscopic nasal cavity expansion surgery on patients with nasal obstruction caused by nasal structural abnormalities.Methods 127 cases with deviation of the nasal septum（DNS） ,chronic hypertrophic rhinitis（CHR） and chronic sinusitis were included in this study. Different methods of operations or combinations of surgery were performed according to different pathological changes （including correction of nasal septurn, inferior turbinectomy, radiofrequeney partial ablation,submucous resection, partial resection, sinus open surgery,etc.）.Results Follow-up visit of all patients were conducted for 3 to 36 months, which showed that the significant efficiency rate was 75.59 %, the effective rate was 24.41 %, and the total effective rate was 100%.Conclusion Endoscopic nasal cavity expansion surgery has a positive effect on treating patients with nasal obstruction caused by nasal structural abnormalities including DNS,CHR and chronic sinusitis.

关 键 词：鼻内镜 鼻腔阻塞 鼻中隔 鼻甲 鼻腔扩容术 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]