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长期变态反应性鼻炎和慢性炎症并存可产生永久性鼻甲肥大,特别是下鼻甲肥大。当鼻甲肥大对可影响其舒张和收缩的正常生理功能,产生持续性鼻塞。滴鼻剂、抗组织胺药、变态反应性脱敏剂不能缓解鼻塞。因此,下鼻甲部分切除成为治疗慢性鼻炎的常见疗法。由于下鼻甲部分切除术可产生大量的出血,而下鼻甲粘膜下骨切除可能产生撕裂伤或完全摘除下鼻甲。故笔者提倡保守性手木。例如下鼻甲骨折或粘膜下骨折伴三角形粘膜切除术。从1978—1984年笔者曾行下鼻甲手术57例。57例中有下鼻甲骨折19例,下鼻甲粘膜下骨折29例,6例粘膜下骨折及三角形粘膜切除术。粘膜下下甲骨切除术仅占3例。结果满意,功能粘膜仍然保存。手术方法,适应症以及与手术有关的解剖生理学问题于以介绍或讨论。
Long-term allergic rhinitis and chronic inflammation coexist can produce permanent turbinate hypertrophy, especially the inferior turbinate hypertrophy. When turbinate hypertrophy can affect its normal physiological function of diastole and contraction, resulting in persistent nasal congestion. Nasal drops, antihistamines, allergic desensitizers can not relieve nasal congestion. As a result, partial removal of the inferior turbinate becomes a common therapy for chronic rhinitis. Subtrochanterial resection can produce large amounts of bleeding, while subchosenotomy of the inferior turbinate may result in laceration or complete removal of the inferior turbinate. Therefore, I advocate conservative hand wood. Such as inferior turbinate fractures or submucosal fractures with triangular mucosal resection. From 1978 to 1984 I had inferior turbinate surgery in 57 cases. In 57 cases, there were 19 cases of inferior turbinate fracture, 29 cases of inferior turbinate submucosal fracture, 6 cases of submucosal fracture and triangular mucosa resection. Submucosal lower extremity resection only accounted for 3 cases. Satisfactory results, functional mucosa is still preserved. Surgical methods, indications and surgical anatomy and physiology problems in order to introduce or discuss.