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为了客观评价鼻窦炎病人内窥镜鼻窦手术(ESS)和柯-陆氏手术后的结果,对1985~1992年慢性/复发性急性鼻窦炎病人,随机选择柯-陆氏手术37例,ESS40例,术后通过内窥镜和CT检查进行比较。采用Storz内窥镜进行检查,如果中鼻道造孔(MMA)和下鼻道(IMA)足够大,可用角度窥镜经造孔检查上颌窦腔,否则,局部浸润麻醉后,借助一个套管针,行上唇下犬齿窝穿刺,或在下鼻甲下方经鼻腔进入窦内检查。
In order to objectively evaluate the results of endoscopic sinus surgery (ESS) and Ke-Lu surgery for sinusitis patients, 37 patients with chronic sinusitis and recurrent acute sinusitis from 1985 to 1992 were selected randomly and 40 patients with ESS Postoperative endoscopy and CT examination were compared. The Storz endoscopy was used to examine the maxillary sinus cavity with an angled endoscope if the mesial MMA and IMA were large enough. Otherwise, the local anesthesia was followed by a trocar , The line under the labial fossa puncture, or under the nasal cavity into the sinus under the check.