山东大学耳鼻喉眼学报

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鼻内镜下鼻甲成形术治疗慢性肥厚性鼻炎60例

牛善利,柴茂文,李振秀   

  1. 滕州市中心人民医院耳鼻喉科, 山东 滕州 277500
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2006-02-25 发布日期:2006-02-25

Endoscopic rhinoplasty of inferior turbinate in 60 patients with chronic hypertrophic rhinitis

NIU Shanli, CHAI Maowen, LI Zhenxiu   

  1. Department of Otorhinolaryngology, Tengzhou Central People′s Hospital,
  • Received:1900-01-01 Revised:1900-01-01 Online:2006-02-25 Published:2006-02-25

摘要: 目的:探讨保全鼻甲生理功能手术治疗慢性肥厚性鼻炎的方法及疗效。方法:行鼻内镜下鼻甲成形术60例,其中下鼻甲黏膜下组织楔形切除40例及下鼻甲黏膜下组织楔形切除+下鼻甲骨部分切除20例,术前、术后测定鼻甲黏膜纤毛清除时间及鼻腔分泌物的pH值。结果:鼻内镜手术疗效好、患者痛苦小,出血少,结痂少,鼻甲形态好,术后康复快,术后2个月下鼻甲黏膜纤毛清除时间及鼻腔分泌物pH值基本正常。结论:鼻内镜下鼻甲成形术治疗慢性肥厚性鼻炎疗效可靠,是一种符合生理微创的手术方法。

关键词: 鼻炎, 下鼻甲成形术, 内窥镜检查

Abstract: Objective: To investigate the surgical method and the curative effect of inferior turbinate function preservation for chronic hypertrophic rhinitis. Methods: Rhinoplasty of inferior turbinate by endoscopic sinus surgery was operated on 60 patients, on 20 of whom cuneal tissues were performed under mucous membrane of inferior turbinate and partial bone resection, and on 40 of whom cuneal tissues resection was performed. The time of debridement from mucous membrane and the pH value of secretion in nasal cavity were determined before and after operation. Results: Little pain and bleeding were found after operation. The time of debridement for mucous membrane and the pH value of secretion in nasal cavity turned to normal in two months. Conclusion: Rhinoplasty of inferior turbinate by endoscopic sinus surgery is a new operation skill with good effect for chronic hypertrophic rhinitis.

Key words: Rhinoplasty of inferior turbinate, Endoscopy , Rhinitis

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