前组筛窦及上颌窦炎鼻内镜手术对早期慢性肥厚性鼻炎的疗效观察

Clinical observation for the management of chronic hypertrophic rhinitis by endoscopic ethmoid and maxillary surgery

目的:探讨前组筛窦及上颌窦炎鼻内镜手术对伴有早期慢性肥厚性鼻炎的治疗效果。方法:2003-2004年采用前组筛窦及上颌窦炎鼻内镜手术治疗早期慢性肥厚性鼻炎54例。全部病例术前均行鼻内镜及CT检查,术后随访1年以上。结果:全部病例中,50例(92.59%)术后鼻腔通气良好或改善,下鼻甲大小、形态和色泽基本接近正常或较前改善。结论:前组筛窦及上颌窦炎鼻内镜手术对伴有早期慢性肥厚性鼻炎具有较好的治疗效果,对避免下鼻甲干燥或萎缩具有积极意义。

Objective：To evaluate the therapeutic effect of endoscopic ethmoid and maxillary surgery on chronic hypertrophic rhinitis . Method： A total of 54 cases of chronic hypertrophic rhinitis were treated by endoscopic ethmoid and maxillary surgery between 2003 and 2004, undergoing postoperative follow-up of more than one year Age of patients ranged from 17 to 60 years, with a mean of 35 years. All of them were identified with nasal endoscopy and CT before surgery. Result： Fifty （92.59 %） of 54 cases showed their nasal obstruction symptoms were relieved completely or improved significantly, with nearly normal infraturbinal appearance. Conclusion：Endoscopic ethmoid and maxillary surgery is an effective approach for the treatment of chronic hypertrophic rhinitis, with good preservations of infraturbinal structure and function.