摘要
目的探讨鼻腔外侧壁黏骨膜下下鼻甲部分切除术治疗慢性肥厚性鼻炎的疗效,并介绍鼻腔外侧壁黏骨膜下下鼻甲部分切除术的手术方法。方法 28例慢性肥厚性鼻炎患者,鼻窦CT证实下鼻甲骨性肥大,行鼻腔外侧壁黏骨膜下下鼻甲部分切除术,术前及术后3、12个月检查鼻阻力(nasal airway resistance,NAR)及应用VAS(visual analogue scale)评分法评价鼻通气功能。结果 28例患者中痊愈20例,好转6例,无效2例。无鼻腔干燥、结痂、粘连、鼻泪管开口闭锁等并发症,下鼻甲形态满意。结论经鼻腔外侧壁黏骨膜下下鼻甲部分切除术是治疗慢性肥厚性鼻炎的有效方法。
Objective To evalue the effect of submucous inferior turbinectomy via nasal lateral wall dissection approach for chronic hypertrophic rhinitis and to present the surgical method. Methods 2 8 chronic rhinitis patients with inferior turbinate hypertrophy confirmed by CT received submucous inferior turbinectomy via nasal lateral wall dissection approach. The surgical effects were assessed by visual analogue scale （ VAS ） and acoustic rhinomotry at different time points （ preoperatively, 3 and 1 2 months postoperatively ） . Results 2 0 cases were cured, 6 cases were improved, and 2 cases were of no effect. There were no major complications such as dryness, scab, conglutination and atresia of nasolacrimal duct. Conclusion Submucous inferior turbinectomy via nasal lateral wall dissection approach is effective for the treatment for chronic rhinitis with inferior turbinate hypertrophy.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2010年第5期370-372,共3页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
慢性肥厚性鼻炎
下鼻甲部分切除术
鼻腔外侧壁
下鼻甲肥大
Chronic hypertrophic rhinitis
Partial inferior turbinectomy
Nasal lateral wall
Inferior turbinate hypertrophy
