内窥镜鼻窦手术两种中鼻甲处理方法的比较  

A Comparative Study on Two Options for Management of Middle Conchae in Surgical Endoscopy of Nasal Sinus

作　　者：姚捷[1] 张志钢[1] 

机构地区：[1]广州医学院附属市二人民医院耳鼻喉科,广东广州510150

出　　处：《广州医学院学报》2003年第1期57-58,共2页Academic Journal of Guangzhou Medical College

摘　　要：目的 :探讨内窥镜鼻窦手术中对中鼻甲病变的有效处理方法。方法 :比较A组 2 8例 (4 6侧 )中鼻甲成形术与B组 32例 (5 0侧 )中鼻甲部分切除术病例的术腔粘连及中鼻甲病变复发的发生率。结果 :(1)两组粘连发生率为A组 2侧 (4 .3% ) ,B组 9侧 (18% ) ,差异有显著性 (χ2 =4 .4 0 ,P <0 .0 5 )。 (2 )A组未见中鼻甲病变复发 ,B组有 8侧复发。结论 :中鼻甲成形术在减少粘连与息肉复发上优于中鼻甲部分切除术 ,是内窥镜鼻窦手术中妥善处理中鼻甲病变的有效方法 ,而术后按时随访及时清理术腔是减少粘连与息肉复发的重要保证。Objective:To explore an effective management of conca lesion under endoscopy.Methods:the postoperative in cidence of cavity adhesion and recurrence of the previous lesion were reviewed in group A treated with conchoplasty(n=28,46sides)and in group B treated with subtotal conchectomy(n=32,50sides).Results:cavity adhesion was found in 2 cases(4.3%) in group A and 9 cases(18%)in group B.Concha recurrence was not seen in group A but founded in 8 cases in group B,with significant difference between the groups(χ 2=4.40,P<0.05).Conclusions:compared with subtotal conchectomy,conchoplasty results in less incidence of adhesion and recurrence postoperation.Regular follow up and clearance of nasal cavity may be crucial for a better outcome.

关 键 词：内窥镜检查 鼻窦炎 鼻甲 

分 类 号：R765.4[医药卫生—耳鼻咽喉科]