鼻中隔、多副鼻窦联合手术的临床初探  

Clinical primary study on nasal septum surgery combined with multi-sinus surgery

作　　者：镡旭民[1] 孟祥贵[1] 杨桦[1] 邓安春[1] 李红[1] 

机构地区：[1]第三军医大学附属新桥医院耳鼻咽喉科,重庆400037

出　　处：《第三军医大学学报》2002年第5期611-612,共2页Journal of Third Military Medical University

摘　　要：目的　评价鼻中隔与多个副鼻窦联合手术的安全性和治疗效果。方法　 72名双侧上颌窦炎、筛窦炎 ( 2 3人伴鼻息肉 )、鼻中隔偏曲、下鼻甲肥大 ( 11名 )的患者 ,在全麻下一次接受鼻中隔粘膜下矫正术、传统的上颌窦根治术、鼻息肉摘除术、筛窦切除术及下鼻甲部分切除术。对其术中出血、围手术期的术后疼痛、面部肿胀、心率、体温、血氧饱和度、并发症 ,及术后 1年鼻通气、鼻腔炎性分泌物、鼻息肉和副鼻窦炎复发的情况 ,分别于一侧上颌窦根治术、双侧鼻息肉筛窦切除术、单纯鼻中隔粘膜下矫正术组 ,进行了对照分析。结果　联合手术组除术中出血较多外 ,围手术期各项指标与对照组无明显差别 ,但术后疗效明显提高。结论　全麻下鼻中隔与多副鼻窦一次性手术是疗效较好和安全可行的 ,并能减少鼻息肉及副鼻窦炎的复发率。Objective To evaluate the safety and efficacy of nasal septum surgery combined with multi-sinus surgery. Methods Seventy-two cases with bilateral chronic sinusitis, ethmoiditis, nasal polyp (23 cases), septal deviation, and hypertrophic inferior turbinate(in 11 cases) received septal submucous resection or septoplasty, Caldwell-Luc procedure, ethmoidectomy, polypectomy, and partial inferior turbinate resection simultaneously under general anesthesia. The bleeding in operation, pain after surgery, facial swelling, pulse, temperature, oxygen saturation and complications in perioperative period,and nasal ventilation, inflammatory secretion, recurrence of nasal polyp and parasinusitis 1 year later, were analyzed and compared with 3 control groups including single Caldwell-Luc procedure, polypectomy, ethmoidectomy, septal submucous resection or septoplasty. Results There was no significant difference in these indexes except bleeding in the combined-surgery group compared with other 3 control groups. Curative effect in the combined-surgery group was improved significantly. Conclusion The septal surgery combined with multi-sinus surgery under general anesthesia, an effective and safety procedure, can decrease the recurrence rate of nasal polyp and parasinusitis

关 键 词：外科手术 副鼻窦炎 上颌窦根治术 筛窦切除术 鼻中隔手术 

分 类 号：R765.21[医药卫生—耳鼻咽喉科] R765.9[医药卫生—临床医学]