摘要
目的探讨鼻内镜下鼻腔泪囊吻合术中"V"型鼻黏膜瓣的应用及疗效。方法回顾分析我院2011年6月至2012年3月行鼻内镜下鼻腔泪囊吻合术的临床资料,分析"V"型鼻黏膜瓣在该术中的应用及疗效。结果慢性泪囊炎60例(72眼)中,治愈67眼(93%),好转3眼(4%),无效2眼(3%),总有效率为97%。结论鼻内镜下鼻腔泪囊吻合术中应用"V"型鼻黏膜瓣可以有效覆盖裸露骨窗,加快黏膜上皮化进程,减少骨质增生及瘢痕形成,对保证手术成功率和维持吻合口形态具有重要意义。
Objective To evaluate the feasibility and efficacy of endoscopic surgery for nasal polyps and sinus necrotizing. Methods The clinical data of 23 cases of hemorrhage and necrosis of nasal and sinus polyp treated from January in 2002 to January in 2010 were retrospectively analyzed. They were all pathologically diagnosed, performed endoscopy sinus, CT and MRI before the surgery. Under general or local anesthesia, the nasal and paranasal sinuses lesions were completely and thoroughly removed. Results 22 patients （95.7%）were cured and 1 patient （4.3%）were improved by endoscopic sinus surgery with less blood loss. 22 patients had no recurrence in a follow-up of 2 to 6 years, and 1 patient relapsed after 1 year and was re-operated through Ke-Lu endoscopic approach. Conclusion Endoscopic sinus surgery is a preferred treatment for nasal polyps and sinus necrotizing, which is simple, safe and effective.
出处
《山东大学耳鼻喉眼学报》
CAS
2013年第1期41-42,共2页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
鼻内镜外科手术
鼻腔泪囊吻合术
鼻黏膜瓣
Endoscopic surgical procedures, operative
Dacryocystorhinostomy
Nasal mucous flap
