鼻内镜下下鼻甲成形术加骨折外移术治疗下鼻甲肥大疗效观察

Clinical Observation on Endoscopic Inferior Turbinate Plasty and Inferior Turbinate Out-Fracture in Chronic Hypertrophic Rhinitis

目的:探讨鼻内窥镜下下鼻甲成形术加骨折外移术治疗慢性肥厚性鼻炎的临床应用价值。方法:对符合慢性肥厚性鼻炎的56例患者在00内窥镜下骨折下鼻甲,切除下鼻甲增生肥厚部分外侧面黏膜及其下肥大骨质,内侧的黏膜瓣保留并覆盖在下鼻甲创面上形成新下鼻甲。随访1到2年。结果:56例中,治愈42例(75.0%),有效13例(23.2%),无效1例(1.8%),总有效率98.2%,无并发症发生。结论:鼻内窥镜下下鼻甲成形术加骨折外移术是治疗慢性肥厚性鼻炎较为理想的手术方法。

Objective：To observe and improve effect of endoscopic inferior turbinate plasty and inferior turbinate out-fracture in chronic hypertrophic rhinitis.Methods：Fifty-six cases of chronic hypertrophic rhinitis were treated by endoscopic inferior turbinate plasty and inferior turbinate out-fracture,and follow-up surveyed for 1 to 2 years postoperatively.Results：It was found that 42 cases（75.0%） were cured,13 cases（23.2%） got improved but 1 cases（1.8%） failed,and the effective rate was 98.2%.No complication was observed. Conclusion： The endoscopic inferior turbinate plasty and inferior turbinate out fracture were one of ideal operation methods.