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目的探讨鼻内镜下中鼻甲部分切除术对鼻窦通气引流功能的影响。方法 30例鼻窦炎鼻息肉患者随机分为中鼻甲部分切除组和保留中鼻甲组,术后进行6个月鼻内镜随访观察。结果中鼻甲部分切除组16例(31侧),痊愈25侧(80.6%),好转3侧(9.7%),无效3侧(9.7%);保留中鼻甲组14例(27侧),痊愈18侧(66.7%),好转3侧(11.1%),无效6侧(22.2%),两组总有效率比较差异有统计学意义。结论中鼻甲部分切除术有利于鼻窦的通气引流及提高鼻内镜手术疗效。
Objective To investigate the effect of endoscopic turbinatectomy on nasal ventilation and drainage. Methods Thirty patients with sinusitis and nasal polyps were randomly divided into partial middle turbinate resection group and retained middle turbinate group. The patients were followed up for 6 months. Results In the middle turbinate partial resection group, 16 cases (31 sides), 25 sides (80.6%) recovered, 3 sides (9.7%) were improved, and 3 sides (9.7%) were invalid. In the middle turbinate group, 14 cases (27 sides) (66.7%), improvement in 3 sides (11.1%) and ineffective in 6 sides (22.2%). There was significant difference between the two groups in total effective rate. Conclusion Partial middle turbinate resection is beneficial to the ventilation and drainage of the sinus and improve the efficacy of endoscopic sinus surgery.