带蒂骨-骨膜肌瓣鼻腔粘骨膜下植入术治疗萎缩性鼻炎临床观察

Treatment of atrophic rhinitis by transplantation of pediculated bone-suberiosteal muscle flap

目的探讨萎缩性鼻炎的一种手术治疗方法,观察手术近期及远期疗效。方法采用上颌窦前壁骨-骨膜肌瓣鼻腔粘骨膜下植入术治疗萎缩性鼻炎56例(96侧),术后随访2～10年,根据术前术后临床症状、体征及病理学检查判断近远期治疗效果。结果56例(96侧)显效49例,占87.5%;有效7例,占12.5%;总有效率100%。结论移植自体带蒂骨-骨膜肌瓣具有自身血液供应,骨质不会被吸收、坏死或脱落,该疗法近期疗效显著,远期疗效巩固,无并发症。

Objective To explore a better method for treatment atrophic rhinitis. Methods 56 patients with atrophic rhinitis（96 lateral） were treated by nasal submucou pediculated bone-suberiosteal muscle flap extracted from anterior wall of sinus maxillaries. Results All patients were followed 2 to 10 years, total effective rate was 100 %, with 49 cases（87.5 % ） showing prominent effect. Conclusion The grafted flap cannot be assimilated, felled off and necrosis,because the flap has rich blood supply. This methods has obvious short-term effective and stable long-term effective. No complications were found.