摘要
目的:探索新的内镜鼻窦手术方式,使之更加适应鼻腔、鼻窦生理学特征,探讨对鼻腔干燥症状的影响。方法:将80例行经鼻内镜鼻窦手术的慢性鼻窦炎患者作为临床观察对象,每例患者的左侧采用保留或重塑钩突形态的鼻窦开放手术作为观察组,右侧用经典鼻内镜手术作为对照组。手术后按照主观症状恢复情况和鼻内镜下局部状态评价鼻腔干燥情况。结果:术后6个月随访,保留或重塑钩突较切除钩突的患鼻较少出现干燥症状(2χ=7.472,P<0.05),内镜检查较少出现下鼻甲前端黏膜干燥(2χ=9.568,P<0.01)。结论:保留或重塑钩突的鼻窦开放手术符合鼻腔气流动力学原理,开放的鼻窦受到钩突的保护可以免受吸入气流的直接攻击,有效减少鼻腔干燥症状的出现。
Objective：To explore a new approach for paranasal sinus by using transnasal endoscope,which would be better coincided with the physiological characteristics of nasal sinuses,and evaluated the impact of mycteroxerosis.Methods：Forty patients with chronic rhinosinusitis（CRS） were selected as clinical subjects.For each patient,the left side was selected to preserve or reconstruct the shape of uncinate process by nasal sinus opening surgery,the right was received traditional functional endoscopic sinus surgery（FESS） as contro1.The impact of mycteroxerosis after surgery was evaluated according to the restoration of symptoms and local state under endoscope.Results：The patients were followed up after 6 months since the performance of surgery.The preservation/reconstruction of uncinate process decreased the mycteroxerosis and accorded to the restoration of symptoms（χ^2=7.472,P〈0.05） and local state under endoscope（χ^2=9.568,P〈0.01）.Conclusion：Sinus opening surgery by preserving or reconstructing uncinate process can maintain or reconstruct the original nasal cavity structure,and can decrease the mycteroxerosis.
出处
《现代临床医学》
2010年第4期250-251,共2页
Journal of Modern Clinical Medicine
关键词
鼻窦炎
内窥镜检查
耳鼻喉外科手术
钩突
sinusitis
endoscopy
otorhinolaryngologic surgical procedures
uncinate process
