摘要
目的 :探讨鼻内窥镜手术处理泡状中鼻甲的方法及其同预后的关系。方法 :10例 16侧慢性鼻窦炎鼻息肉伴泡状中鼻甲患者在鼻内窥镜手术时 ,6例双侧病变者单侧行泡状中鼻甲外侧半切除术。对侧行泡状中鼻甲成形术 ,另外 4例单侧泡状中鼻甲者均行中鼻甲成形术。观察两种处理方法术后创面上皮化完成时间及粘连情况。结果 :术后创面上皮化完成时间 :中鼻甲成形处理侧为 6～ 16周 ,平均 12周 ,单纯中鼻甲外侧半切除侧为 16～ 2 8周 ,平均 2 1周 ,两组间上皮化时间差异显著 (P <0 .0 1) ;术腔粘连情况 :中鼻甲成形处理侧无 1例发生粘连 ,未成形侧有 1例发生粘连。结论 :鼻内窥镜手术中泡状中鼻甲行成形处理 ,可以防止术腔粘连 。
Objective:To study the treatmental ways and the curative effects on the concha bullosa (CB) by endoscopic surgery.Methods:10 cases of patients with chronic nasosinusitis,nasopolyp and 16 sides of CB,in whom it was showed 6 cases of double-side and 4 cases of single-side CB,were performed the endoscopic operation.In the 6 cases of patients with double-side CB,the resection of the external middle turbinate was employed on the one side of them,while the resection plus the plastic operation were performed on the other side.All of the 4 cases with single-side CB were treated with both resection nd plastic opertion.The epithelialization time on the wound surface and the synechia state following the two treatment were noted.Results:①The epithelialization time on the wound surface was different between the side of the resection only (RO) and the side of the resetion plus the plastic operation (RPO).(P<0.01).②The synechia state in the operated area was also different between the RO sides and the RPO sides.No any synechia appeared on the RPO sides.While one case treated by RO showed the synechia.Conclusions:The plastic operation of concha bullosa in the endoscopic surgery can prevent the postoperative synechia in the nasal cavity,and shorten the time of epithelialization.
出处
《中国内镜杂志》
CSCD
2001年第3期29-30,共2页
China Journal of Endoscopy
关键词
鼻内窥镜手术
泡状中鼻甲
成形术
疗效
Nasal
Endoscopic Surgery
Concha Bullosa,Plastic Operation
