摘要
目的通过观察鼻内镜下鼻丘气房处理的程度和术后额窦引流的关系,探讨鼻丘气房的处理方式对额窦引流的影响。方法回顾224例(404侧)慢性鼻窦炎、鼻息肉术后额窦引流情况,分析鼻丘气房处理的选择,其中鼻丘气房没有开放6侧、前下壁开口352侧、切除26侧。结果术后2～3周中鼻甲前端与鼻腔外侧壁粘连44侧,额窦引流均不畅,额窦口重新堵塞26侧。结论鼻丘气房参与组成额隐窝前壁,彻底清除鼻丘气房及其病变组织对额窦引流有重要作用。
Objective To explore the influence of treating agger nasi on the drain of frontal sinus, through observe the relationship between treating agger nasi by endoscopic surgery and draining frontal sinus after operation. Methods The condition of the postoperative drain of frontal sinus of 224 chronic sinusitis-nasal polyp cases were reviewed and analyzed selected methods of treating agger nasi： agger nasi of 6 sides were not opened, anterior inferior wall of agger nasi of 352sides were opened and agger nasi of 26 sides were removed. Results In 2 -- 3 weeks after operation, the front of middle turbinate were conglutinated with lateral wall of nasal cavity in 44 sides and frontal sinus was not sufficiently drained. The ostiums opertures of frontal sinus were obstructed again in 26 sides. Conclusion As agger nasi partly forms the front wall of frontal recess, to remove completely agger nasi and its abnormal tissue is important to the drain of frontal sinus.
出处
《当代医学》
2009年第31期85-85,共1页
Contemporary Medicine
关键词
鼻内镜
鼻丘气房
额窦
引流
Endoscope
Agger nasi
Frontal sinus
Drain
