鼻腔多结构异常的鼻内镜下手术治疗

Endoscopic sinus surgery for multi-structural abnormality in nasal cavity

目的:探讨鼻内镜下手术治疗鼻腔多结构异常的适应证及其疗效。方法:采用鼻内镜下鼻中隔成形术、中下鼻甲成形术及筛窦开放术等治疗鼻腔多结构异常患者304例。结果:随访6个月以上,无手术并发症,治愈278例,有效23例,无效3例,总有效率达99.0%。结论:根据病变的具体情况,采用鼻内镜下多结构联合处理,贯穿"微创"和"保留黏膜功能"原则,再结合术后鼻腔冲洗治疗,可获得满意的治愈率。

Objective：To evaluate the indications and effects of endoscopic surgery for patients with multi-structural abnormality in nasal cavity.Method：Endoscopic surgery were used in management of 304 patients with multi-abnormal anatomy with nasalseptoplasty,middle and inferior turbinatoplasty,ethmoidectomy and so on.Result：The patients were followed up for six months or more and no post-operative complications were found.Of 304 patiens,278 cases were cured,23 cases improved and 3 cases ineffective.Total effective rate was 99.0%.Conclusion： According to the specific lesion situation,it is able to obtain a satisfactory cure rate with treatment on multi-structural abnormality by endoscopic surgery and post-operative nasal lavage in the principle of minimal invasion and retaining mucosal function.