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翼管神经切断术用于减轻血管舒缩性鼻炎症状,已为临床家所公认。因为翼管神经深在、手术入路困难,尽管在五十年代末确认其功效,但本手术至今尚未普遍应用于临床。虽有经上颌窦、经鼻中隔及经腭入路翼管神经切断术等,但尚无一种满意的入路术式。本文报道了经鼻入路切断翼管神经节前纤维的手术方法,著者在4年期间共做了247例本手术,操作简便易行、无严重并发症,术后收到满意效果。文中阐述了翼腭窝、鼻腔外侧壁及蝶腭孔的应用解剖,详述了经鼻腔入路的手术方法、步骤,并与经上
Vascular nerve resection for the reduction of vasomotor rhinitis symptoms, has been recognized by clinical home. Because of the deep pterygoid nerve, surgical access difficulties, although confirmed in the late fifties efficacy, but the surgery has not yet been widely used in clinical practice. Although the maxillary sinus, transnasal septum and palatal pterygoid nerve transection, etc., but there is no satisfactory surgical approach. This article reports the nasal approach to cut off the fibers of the preganglionic plexus approach. The authors performed a total of 247 surgeries over a four-year period. The procedure was simple and easy to operate with no serious complications and satisfactory results were obtained postoperatively. The application of the anatomy of the pterygopalatine fossa, the lateral wall of the nasal cavity and the sphenopalatine fossa is described in this article. The methods, procedures and procedures of transnasal approach are described in detail.