功能性鼻内窥镜鼻腔鼻窦手术27例临床观察

Clinical observation on 27 cases of Functional Endoscopic Sinus Surgery(FESS)

目的：鼻内窥镜下的鼻腔鼻窦手术在彻底切除病变组织基础上尽可能不损伤鼻腔及鼻窦的解剖结构，最大限度地保留鼻腔和鼻窦的基本功能。方法：采用功能性鼻内窥镜进行鼻腔、鼻窥手术27例。结果：术后随访，13例鼻息肉并鼻窦炎，5例慢性肥厚性鼻炎全部恢复正常通气功能。9例鼻中隔偏曲全部治愈。鼻内窥镜手术时原则上应该保留中鼻甲。但对于筛窦病变较重，气化的中鼻甲有积脓及呈息肉样改变者则不应再保留。结论：应用鼻内窥镜行鼻腔鼻窦手术损伤小、疗效佳、是鼻腔、鼻窦手术有前景的手术方法。

objective:On the basis of removing the focal tissue,fanetional endoscopicsinus surgery could retain the fundamental function inte funlimit and reduce thedamage of anatomie stracture of nasol carity and sinus to a minimum limitation.Method:27 patients were operated by FESS. Result: All patients were followed uppostoperatively. Among them 13 of rhinopolyp and 5 of ehronic hypertrophic rhini-tis patients were all recovered the normal function of nasal breath. For 9 of devia-tion of nasal septum were all cared. It's principled to remain the middle turbinate inthe FESS. But,it's not suitable to remain when the pathalogical change of the sinusethmoidei is severe,and there is a pneumatizal middle turbinate with empyema andpolypoid. Concusion: FESS is a good prospective method It's less lesion and wellCura tive effect.