翼管神经切断术的研究进展  

Research Advances in the Vidian Neurectomy

作　　者：贺佳萌 柳林整[2] 

机构地区：[1]延安大学医学院,陕西 延安 [2]榆林市第一医院耳鼻喉科,陕西 榆林

出　　处：《临床医学进展》2024年第4期1866-1872,共7页Advances in Clinical Medicine

摘　　要：翼管神经切断术自上个世纪提出并被广泛应用于临床治疗期间,不断有学者报道了其各种手术方式以及治疗疗效,但因当时的手术环境限制,翼管神经定位困难,且该手术伴随着严重的并发症,致使翼管神经切断术遭受了很多争议。近年来,随着内窥镜技术的蓬勃发展,翼管神经切断术再度兴起,并获得了大量肯定的疗效评估,或将为药物难以治疗的变应性鼻炎患者提供良好的治疗效果。本文就翼管神经切断术的理论基础、解剖结构、手术路径、疗效及相关进展情况进行综述。Since vidian neurectomy was proposed and widely used in clinical treatment in the last century, various surgical methods and therapeutic efficacy of vidian neurectomy have been constantly reported by scholars, but vidian neurectomy suffered a lot of controversy due to the limitation of the surgical environment at that time, the difficulty of vidian nerve localization, and the serious complications accompanying this surgery. In recent years, with the rapid development of endoscopic technology, vidian neurectomy has been re-emerging and has received a large number of positive efficacy evaluations, which may provide a good therapeutic effect for patients with allergic rhinitis that is difficult to be treated with medication. This article reviews the theoretical basis, anatomical structure, surgical pathway, efficacy and related progress of vidian neurectomy.

关 键 词：翼管神经切断术 鼻内镜 变应性鼻炎 顽固性血管运动性鼻炎 

分 类 号：R73[医药卫生—肿瘤]