等离子鼻内镜下治疗鼻硬结病伴慢性鼻窦炎一例  

A case of rhinosclerosis complicated with chronic rhinosinusitis treated by plasma endoscopic sinus

作　　者：杨利利 彭梅君 俞德顺 丁跃明 Yang Lili;Peng Meijun;Yu Deshun;Ding Yueming(Work unit:Clinical School of Medicine of Dali University,Yunnan,Dali 671000;Department of Otolaryngology,First Affiliated Hospital of Dali University,Yunnan,Dali,671000)

机构地区：[1]大理大学临床医学院,云南大理671000 [2]大理大学第一附属医院,云南大理671000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第3期129-130,128,5,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探讨应用等离子对治疗鼻硬结病的临床效果及预后疗效。方法选用我科近期收治的1例左侧鼻腔良性肿瘤伴慢性鼻窦炎患者为对象,经取病理活检考虑排外硬结病,对其行等离子鼻内镜下左侧鼻腔肿物切除术+左侧蝶窦开放术+左下甲成形术,分析观察患者术后症状改善,术腔恢复及术后复发情况。结果该患者术后鼻塞症状明显改善、无并发症和术后复发。结论等离子鼻内镜下治疗鼻硬结病对患者具有创伤小,恢复快,出血少等优点,值得临床推广应用。Objective To investigate the clinical effect and prognosis of plasma on the treatment of rhinosclerosis.Methods A patient with benign tumor of the left nasal cavity and chronic sinusitis who was recently treated in our department was selected as the object.The pathological biopsy was taken to consider the exclusion of scleroderma,and the left nasal cavity tumor resection+left side was performed under the plasma nasal endoscope.Sphenoid sinus opening+left inferior thyroidoplasty,the postoperative symptom improvement,postoperative cavity recovery and postoperative recurrence were analyzed and observed.Results The patient’s nasal congestion symptoms were significantly improved after operation,and there were no complications and postoperative recurrence.Conclusion Plasma endoscopic treatment of rhinosclerosis has the advantages of less trauma,faster recovery and less bleeding,and it is worthy of clinical application.

关 键 词：鼻硬结病 等离子 鼻内镜 慢性鼻窦炎 

分 类 号：R47[医药卫生—护理学]