摘要
目的 观察内镜下后鼻孔成形术治疗先天性后鼻孔闭锁的疗效.方法 回顾性分析首都医科大学附属北京儿童医院2006年1月至2012年9月间,经电子鼻咽镜检查及鼻窦CT扫描确诊为先天性后鼻孔闭锁的15例患儿的临床资料,年龄4～6岁;其中男7例、女8例;单侧闭锁6例,双侧闭锁9例;10例（16侧）为膜性闭锁,2例（4侧）为混合型闭锁,3例（4侧）为骨性闭锁.全部患儿均在全麻内镜下行后鼻孔成形术,成形扩大后鼻孔后放置支撑管.术后保留鼻腔支撑管3个月,常规护理下维持支撑管通畅,术后3个月拔除支撑管后坚持生理海水鼻腔冲洗,交替内镜下观察及换药.结果 随访至术后1年,15例患儿复查电子鼻咽镜,见后鼻孔无挛缩表现,治疗有效率达100％,无再手术病例.结论 鼻内镜下后鼻孔成形术治疗儿童先天性后鼻孔闭锁疗效肯定,安全性高.
Objective To observe the effect of transnasal endoscopic choanal plasty for repairing congenital choanal atresia. Method A retrospective analysis of 15 patients with choanal atresia in Beijing Children＇s Hospital from January 2006 to September 2012 was made. All the 15 patients accepted electronic nasopharyngoseope examination and CT scanning of the paranasl sinus. The age was between 4 years old and 6 years old. Seven of them were male and 8 were female. Six cases were unilateral atresia, 9 were bilateral atresia. Ten cases （16 sides） were membranous atresia, 2 cases （4 sides） were mixed type atresia and 3 cases （4 sides） were bony atresia. All the patients accepted transnasal endoscopic choanal plasty. A tube was placed in order to support the enlarged nostrils. The nasal tube should be retained for 3 months and kept patency by routine care. Three months after operation, the tube could be removed. The patients were told to do physiological saline nasal irrigation and receive regular review by transnasal endoscopy. Result The patients were followed up for 1 year postoperatively by electronic nasopharyngoscope examination. There was no failure case in all the 15 patients. The total effective rate was 100%. Conclusion Transnasal endoscopic choanal plasty had better efficacy and safety in the treatment of congenital choanal atresia.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2014年第7期564-567,共4页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
基金
基金项目：首都医学发展科研基金项目（2009-3125、2009-1035）
