摘要
以鼻窦内镜系统和微型切割吸引器为代表的鼻窦微创外科手术器材 ,以及与之相应的手术方式 ,正在成为鼻科手术的趋势。其意义不仅局限于技术和器械层面 ,而且促使鼻外科医生重新评价外科干预在鼻腔 -鼻窦系统疾病中的位置。鼻窦手术微创化减少正常粘膜的去除 ,尽可能降低裸露的骨面 ,因此避免了可能会出现的窦腔容积下降以及纤毛运动障碍。本文结合文献复习对连续 12 0例 (2 17侧 )不同程度的慢性鼻窦炎、鼻息肉患者按照鼻窦微创外科原则进行手术 ,并连续随访。结果表明 ,术后患者痛苦明显减轻 ,尤其是后鼻孔分泌物发生率、鼻腔干燥等常见的术后症状发生率均明显降低 ,术腔及窦口粘连率没有明显升高 ,术腔上皮化时间明显缩短。因此鼻窦手术微创化手术不仅在医疗 。
Minimally invasive sinus surgery(MISS),represented by functional sinus endoscopic system and microdebrider as well as the related surgery techniques,is now going to be a trend.MISS is far more beyond some more sophistic techniques and advanced equipment,but also a principle,which provide a chance for rhino\|sinus surgeons to re\|judge the role of surgical/medical intervention in dealing with the rhino\|sinus diseases.The method employed by MISS offers less striping of the normal mucosa and therefor less denuding the bone.As a result,there was less possibility of contracting the sinuses and disturbing the mucociliary patterns.The way demonstrated excellent surgical results with fewer complications and faster healing than traditional techniques in functional endoscopic sinus surgery.The results of our 120 MISS procedures were reviewed with the mean follow\|up of 29.6 months.Method according to MISS principle used here proved less crust and less ostial reocclusion as well as less synechia formation,so less debridement was required.Symptoms often occurred after traditional surgery such as drynose,back\|drip,have dramatically decreased.So,MISS will benefit patients both medically and economically.
出处
《耳鼻咽喉（头颈外科）》
2002年第3期139-141,共3页
Chinese Arch Otolaryngology-Head Neck Surg
