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我科于1995～1997年间开展鼻内窥镜手术52例,其中功能性鼻内窥镜鼻窦手术35例,取得了较满意的治疗效果。现报道如下。 1.资料与方法 临床资料 35例(63侧)中,男22例,女13例;年龄13～69岁。双侧28例,单侧7例。慢性鼻窦炎14例,慢性鼻窦炎伴鼻息肉或鼻中甲息肉样变21例。所有患者术前均行冠状位鼻窦CT扫描,部分患者作鼻内窥镜检查。 手术方法 内窥镜采用Storz公司生产,直径为4mm,偏角视野为0°、30°和70°。部分采用国产鼻内窥镜。采用局麻,患者取仰卧位,头部抬高30°。手术步骤:本组病例均采用Messerklinger术式(1)切除钩突;(2)
Our department carried out 52 cases of endoscopic sinus surgery between 1995 and 1997, including 35 cases of functional endoscopic sinus surgery, and achieved satisfactory results. Report as follows now. 1. Materials and Methods Clinical data 35 cases (63 sides), 22 males and 13 females; aged 13 to 69 years. Bilateral 28 cases, unilateral in 7 cases. Chronic sinusitis in 14 cases, chronic sinusitis with nasal polyps or nasal polyps in 21 cases. All patients underwent coronal sinus CT scan before surgery, some patients for nasal endoscopy. Surgical Procedures Endoscopes were manufactured by Storz with a diameter of 4 mm and a deflection angle of 0 °, 30 ° and 70 °. Part of the use of domestic nasal endoscope. Using local anesthesia, patients supine, head elevation 30 °. Surgical procedures: The patients were treated with Messerklinger (1) to remove the uncinate process; (2)