摘要
中鼻甲在鼻腔生理功能方面发挥重要作用，又是鼻内窥镜鼻窦手术中极重要的解剖参考标志，所以强调术中保留中鼻甲。但中鼻甲自身解剖结构异常或存有病变，却可导致鼻腔鼻窦功能障碍，并有可能成为鼻窦炎的发源地。本文综合了1213例接受鼻内窥镜鼻窦手术的慢性鼻窦炎、鼻息肉患者中975例CT扫描和鼻内窥镜检查结果，并总结了鼻内窥镜鼻窦手术中和术后随访的体会，归纳提出中鼻甲与上颌骨额突（钩突附着缘）及鼻中隔的解剖结构关系MFS分型及鼻内窥镜鼻窦手术中中鼻甲的处理方法。手术原则和方法主要采用矢状切除中鼻甲外侧部分，并对其进行矫形的方式，重建MFS解剖结构关系。本文讨论了鼻内窥镜鼻窦手术中中鼻甲处理的必要性，并强调指出在去除病变的基础上保留中鼻甲及其功能作用是鼻内窥镜鼻窦手术中一项重要内容。
It has become recognized that the middle turbinate (MT) plays an important role in the physiology of the nose, and is one of the important anatomic marks during endoscopic sinus surgery. The preservation of MT has been emphasized. However, the inflammation or anatomic anomalies of MT might interfere with the drainage and ventilation of nasal cavity and sinus, with resultant qinus diseases. We classified the pathologic MT into 5 types according to the results of CT scan and endoscopic examination of 1 213 patients with chronic sinusitis and polyps. The surgical technique we used was to cut the lateral portion of MT sagittally first and then perform a MT-plasty. We advocate the partial middle turbinatectomy (MT-plasty) under the control of endoscope because of its advantages of expanding operative field, opening middle meatus, keeping ideal anatomic structure of MT and avoiding postoperative adhesion.
出处
《耳鼻咽喉（头颈外科）》
1997年第2期67-72,共6页
Chinese Arch Otolaryngology-Head Neck Surg
