下鼻甲手术方式的选择  

Choice of the methods for inferior turbinectomy

作　　者：乐建新[1] 檀慧芳[1] 曾金波 黄选兆 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉科,武汉430022 [2]湖北孝感中心医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉科杂志》2002年第2期58-59,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨下鼻甲手术的最佳方式 ,进一步明确常用术式的适应证。方法 :采用 5种下鼻甲术式对97例慢性肥厚性鼻炎或下鼻甲代偿肥大的患者行手术治疗 ;检测手术前后的鼻阻力的变化。结果 :5种术式中 ,下鼻甲部分切除术疗效好 ,但术后反应大 ,易并发出血及术后鼻腔干燥感 ;功能性下鼻甲手术疗效较好 ,术后反应轻、恢复快。结论 :5种下鼻甲术式均有明确的适应证 ,但功能性下鼻甲手术适应证较广 。Objective:To make clear the indications for each kind of inferior turbinectomy and to find out the best way of inferior turbinectomy. Method:The nasal resistances in pre operation and post operation were examined with rhinomanometer in 97 cases. The time of recovery, the symptoms remained and the compilications after operation were recorded. Result: ' Functional' inferior turbinectomy is characterized for its mild postoperation reaction, quick recovery and good therapeutic effect whereas the partial inferior turbinectomy is characterized for its serious reaction, bleeding and dryness after operation.Conclusion:There is a definite indication for each kind of inferior turbinectomy , but the indication of ' functional' inferior turbinectomy is wide.

关 键 词：下鼻甲手术 鼻阻力 手术方式 适应证 

分 类 号：R765.9[医药卫生—耳鼻咽喉科]