鼻内窥镜鼻窦手术中病变鼻甲的处理对筛窦术腔的影响

Effect of Diseased Middle Turbinate Management on Ethmoid Sinus Cavity

目的:探讨鼻内窥镜鼻窦手术保留或切除病变中鼻甲对术后筛窦术腔的影响。方法:回顾分析接受功能性鼻内窥镜鼻窦手术伴中鼻甲病变的慢性鼻窦炎鼻息肉患者73例,观察中鼻甲切除组35例和中鼻甲保留组38例的术后筛窦术腔闭塞的发生率。结果:术后6个月保留组患者的中鼻甲大小形态基本恢复正常的29例(76％)。中鼻甲保留组和切除组筛窦术腔闭塞率分别为7.9％和37％(P<0.05)。筛窦术腔闭塞的病变中鼻甲主要为息肉形成型。结论:鼻内窥镜鼻窦手术对病变中鼻甲作适当处理后予以保留有利于筛窦术腔的恢复。

Objective: To study the influence of diseased middle turbinates reserved or resected by nasal endoscopy on the ethmoid sinus cavity. Methods: A retrospective analysis of 73 patients with nasal polyp and sinusitis was made. The proportions of the occlusion of ethmoid sinus cavity in 38 cases with midle turbinate reserved and 35 cases with middle turbinate resected were investigated postoperatively by nasal endoscopy. Results: After 6 mouths,the form of diseased middle turbinate returned to normal in 29 cases(76%)with middle turbinute reserved. The proportions of the occlusion of ethmoid sinus cavity in the groups with middle turbinate reserved and resected were 7.9% and37% (respectively (P<0.05). The diseased middle turbinate of ethmoid sinus cavity closure was mainly the type of middle turbinate with polyp. Conclusion: Appropriate management of middle turbinate after reservation may be benefit to the recover of the ethmoid sinus cavity after operation.