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  標題:鼻內鏡下108例鼻腔擴容術效果分析
    

鼻內鏡下108例鼻腔擴容術效果分析
郝曉民  劉水明  蔡威儀  何卓君


【摘要】 

目的   探討解除鼻阻塞的理想手術方法。
方法   根據患者具體病情分別對108例鼻中隔偏曲和慢性肥厚性鼻炎行個性化手術,鼻中隔偏曲行鼻內鏡下鼻中隔成形術或三線減張鼻中隔矯正術;慢性肥厚性鼻炎多在鼻內鏡下鼻甲外移術基礎上酌情加下鼻甲等離子消融術或下鼻甲黏膜下切除術及下鼻甲部份切除術等。
結果   術後隨訪3~12個月,有效率為97.37%,無頭痛,鼻乾等併發症發生。
結論   手術治療鼻中隔偏曲和慢性肥厚性,鼻腔擴容術為首選方法。

 

【關鍵詞】 鼻阻塞;鼻中隔;下鼻甲;鼻腔擴容術


Effect analysis on 108 cases of endoscopy nasal cavity surgery expansion
HAO Xiao-min, LIU Shui-ming, CHOI Wai-i, HO Cheok-kuan
Departmemt of Otrorhinolaryngology Head and Neck Surgery, Kiang Wu Hospital. Macau; E-mail:kwotohns@yahoo.com.hk

 

[Abstract] 
Objective   To find the ideal operation of lifting nasal obstruction.
Methods     According to the specific surgical disease, individualized operation were performed in 108 cases of deviation of nasal septum (DNS) and chronic hypertrophic rhinitis (CHR). The main surgical method is based on three line tension relaxing correction for deviation of nasal septum. CHR cases were mainly treated by inferior turbinate with fractured-bone removal in combination with plasma radiofrequency ablation for volumetric tissue reduction, sub-mucoperiosteous partial resection or partial inferior turbinectomy.
Results     All the cases were followed up 3-12 months after operation, effective rate was 93%, symptoms of headache and complication of rhinitis sicca, etc were not appeared.
Conclusion Through attention to keep the physiological function of nasal mucosa, the integrity of the nasal septum, appropriate expansion of the nasal cavity volume, restore ventilation in bilateral symmetry of the nasal cavity, can achieve satisfactory results.

 

[Key Words] Nasal obstruction; Nasal septum; Inferior turbinate; Nasal cavity surgery expansion

 

 
   

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