摘要
目的:观察鼻中隔、多鼻窦联合手术的治疗效果并探讨其安全可行性。方法:56例鼻腔鼻窦疾病的患者均在局部麻醉下一次性接受鼻中隔矫正术、上颌窦根治术、鼻息肉切除术、筛窦(额窦、蝶窦)开放术及中、下鼻甲手术,并观察术后的疗效和并发症。结果:56例患者均顺利完成手术,随访6个月～2年,治愈30例(53.57%),好转23例(41.07%),无效3例(5.36%),总有效率94.64%,出现并发症20例(35.71%),所有并发症经治疗均获痊愈,无鼻中隔穿孔等严重并发症发生。结论:在局部麻醉下能一次性完成鼻中隔、多鼻窦(鼻鼻窦)联合手术,且不会增加和加重鼻鼻窦手术的并发症;因该术式疗效好,是一种安全可行的手术方法,能明显减少鼻息肉及鼻窦炎的复发。
Objective： To observe and summarize the clinical effect of nasal septum surgery combined with multi-sinus surgery and to discuss the safety and feasibility. Method：Fifty-six patients with nasal sinuses and nasal cavity diseases received nasal septal reconstruction, Caldwell-Lue procedure, polypectomy, ethmoidectomy and partial middle or inferior turbinate resection simultaneously under local anesthesia, and the complications after surgery were observed. Result：Operation in fifty-six patients were completed successfully. Thirty cases were cured, the cure rate of 56 case was 53.57%, 23 cases were effective recovered （41.07%）, 3 cases didn＇t recover（5.36%）. The clinical cure rate was 94.64%. No severe complications occured. Conclusion：The nasal septal surgery combined with multi- sinus surgery simultaneously under local anesthesia is effective and safety procedure. It can decrease the recurrence rate of nasal polyp and sinusitis and don＇t increase the rate of complication occurring.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2006年第8期360-361,共2页
Journal of Clinical Otorhinolaryngology
关键词
鼻中隔偏曲
鼻窦炎
鼻息肉
外科手术
预后
Nasal deviation
Sinusitis
Nasal polyp
Surgical procedures,operative
Prognosis
