鼻内镜下鼻中隔鼻甲微创手术治疗的临床疗效观察

Clinical effects of Endoscopic minimally invasive surgery of nasal septal turbinate

目的:探讨鼻中隔鼻甲微创手术治疗的安全性、可行性。方法:对132例肥厚性鼻炎、鼻窦炎、鼻息肉伴有中隔鼻甲患者施行内镜下鼻窦手术同时切除鼻中隔鼻甲粘膜下肥厚组织,保持中隔粘膜及软骨膜的完整,修整鼻中隔的形态,行中鼻甲矫形,重建中鼻甲、上颌骨额突及鼻中隔的解剖关系,并观察术后疗效。结果:随访2年,119例(90.15%)治愈,13例好转(9.85%),总有效率100%。结论:鼻内镜手术同期微创手术治疗鼻中隔鼻甲,恢复鼻腔正常结构,促进中鼻甲功能的恢复,恢复正常嗅裂及鼻道窦口复合体的引流、改善嗅觉,提高鼻内镜疗效意义重要。

Objective：To investigate the feasibility and safety of minimally invasive surgery of nasal septal turbinate.Methods：132 cases of hypertrophic rhinitis、sinusitis and nasal polyps with nasal septal turbinate were treated with endoscopic sinusitis surgery and submucous hypertrophy of nasal septal turbinate resection to keep the integrity of nasal septal mucosa and cartilage and modify the shape of nasal septum.The surgery of plasty of middle turbinate reconstructs the anatomy of middle turbinate、processus frontalis maxllae and nasal septum,and their clinical effects were evaluated.Results：After 2 years＇ follow-up,119 cases of patients were recovered,13 cases were improved,the effective rate were 100%.Conclusion：endoscopic surgery with minimally invasive surgery of the nasal septal turbinate is helpful to the recovery of the physiological structure of nasal cavity,the function of middle turbinate,normal discharge of olfactory fissure and ostiomeatal complex and the function of olfaction,which is valuable to improve the clinical effects of endoscopic surgery.