摘要
目的探讨各种鼻腔结构异常修正性鼻内镜手术的选择及其疗效观察。方法回顾性分析2002年3月至2005年5月36例行修正性鼻内镜手术的原因,针对鼻腔不同的结构异常,采取相应的修正性鼻内镜手术。结果修正性鼻内镜手术原因:36例(56侧)中筛窦炎(包括筛窦骨质增生)24例(36侧),伴鼻息肉复发16例(32侧),中鼻甲外移致中鼻道狭窄13例(15侧),伴中鼻甲粘连11例(12侧),伴鼻中隔偏曲10例,额隐窝狭窄5例(7侧),蝶窦炎5例(6侧),上颌窦口闭锁3例(3侧),下鼻甲肥大3例(3侧)。36例中24例(68%)伴鼻腔结构异常,即中鼻甲、下鼻甲、鼻中隔及钩突相关病变。修正性鼻内镜手术后,随访6～43个月,痊愈22例,好转10例,无效4例。结论鼻内镜术后复发者多伴有鼻腔结构异常,鼻窦开放的同时矫正鼻腔各结构异常可提高手术疗效,降低复发率。
OBJECTIVE To discuss the operative plan for nasal cavity abnormality and evaluate the effect of revision FESS. METHODS A retrospective study of 36 revision FESS performed during 2002.3-2005.5 （age from 17 to 55 years old） is presented. Patients were evaluated with endoscopic examination of the nasal cavities and computed tomography of the sinuses and nasal cavities. Information was also collected during the revision surgery. The plan was designed according to nasal cavity abnormality. RESULTS The reasons of revision FESS： Among 36 cases there are 24 ethmoid sinusitis, 16 cases with recurrence of polyps,13 middle meatal stenosis, 11 middle turbinate adhesion, 10 septal deviation, 5 frontal recess stenosis, 5 sphenoid sisusitis, 3 maxillary ostium obstruction,3 inferior turbinate hypertrophy. Follow up for 6 monthN43 month after revision FESS, 22 cases were successful, 10 satisfied and 4 inefficacy. CONCLUSION The primary FESS failure was associated with nasal cavity structure diseases. Meticulous attention in these areas and correcting it during surgery may reduce recurrence and ensure operative effect after revision FESS.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2006年第5期325-327,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
