摘要
目的探讨鼻内镜下肥厚性下鼻甲的最佳处理方法。方法 170例(255侧)肥厚性下鼻甲患者,分别在鼻内镜下应用下鼻甲部分切除术(A 组)、下鼻甲成形术(B 组)以及电动切削术(C 组)3种不同方法处理肥厚的下鼻甲,对术后6个月的疗效及下鼻甲术后并发症进行观察分析。结果手术所用平均时间 A 组26.50min,B 组60.25 min,C 组30.60 min。术后鼻塞改善率为 A 组92.00%、B 组88.14%、C 组95.08%。手术并发症发生率 A 组8.00%,C 组1.63%,B 组无并发症发生。术后黏液纤毛传输时间 A 组为25.35 min,B 组为24.36min,C 组为24.50 min。结论下鼻甲部分切除术、下鼻甲成形术及电动切削术3种术式对肥厚性下鼻甲均有较好的疗效。电动切削术是最为理想的术式。
Purpose To discuss the best treatment of hypertrophic rhinitis with endoscopy.Methods 170 examples (255 sides)of hypertrophic rhinitis were divided into three groups to treat Inferior turbinate with endoscoy.Group A was operated on by partial inferior turbinectomy.Group B was operated on by submucous resection of inferior turbinate.Group C was operated on by powered cut surgery of inferior turbinate.The effectivness of six months after surgery and complications were observed.Results The mean sugical time of Group A is 26.50 minutes,that of Group B is 60.25 minutes,and that of Group C is 30.60 minutes.The nasal obstruction improvement rate of Group A is 92.00%,that of Group B is 88.14%,and that of Group C is 95.08%.The surgical complication occurrence rate of Group A is 8.00%,that of Group B is none and that of Group C is 1.63%.The mucous clia transfer time after surgery of Group A is 25.35 minutes,that of Group B is 24. 36 minutes,and that of Group C is 24.50 minutes.Conclusion The partial inferior turbinectomy,submucous resection of inferiorturbinate and powered cut surgery of inferior turbinate all have good effectiveness to hypertrophic rhinitis.The powered cut surgery of inferior turbinate is the best surgery.
出处
《中国眼耳鼻喉科杂志》
2004年第6期378-379,共2页
Chinese Journal of Ophthalmology and Otorhinolaryngology
