论文部分内容阅读
慢性鼻窦炎鼻炎鼻息肉的病变主要集中在窦口鼻道复合体(OMC)区域,以往传统的手术方式为求彻底切除病变,大多严重地破坏了OMC结构,而术后疗效并不满意。笔者参照正常成人OMC解剖学标准,对169侧慢性鼻窦炎、鼻息肉按功能性鼻窦内窥镜手术(FESS)原则.将OMC清除病变后进行功能重建手术,经随访观察,效果显著,报告如下。 1 临床资料 本文169例中,男112例,女57例;年龄16～65岁。其中Ⅰ型1期至Ⅱ型1期共131例,Ⅱ型2期21例,Ⅱ型3期17例,均伴有不同程度嗅觉减退或丧失,绝大多数伴脓涕、头痛和鼻阻塞症状,伴中鼻甲肥厚或
Chronic rhinosinitis Rhinitis Nasal polyps lesions are mainly concentrated in the sinus ostiomeatal complex (OMC) area, the traditional surgical methods for the complete removal of the lesion, mostly severely damaged the OMC structure, and postoperative efficacy is not satisfied. The author refers to the normal adult OMC anatomy standards, 169 side of chronic sinusitis, nasal polyps according to the principles of functional endoscopic sinus surgery (FESS) .The OMC removed lesions after functional reconstruction surgery, follow-up observation, the effect is obvious, the report is as follows . 1 Clinical data 169 cases in this article, 112 males and 57 females; aged 16 to 65 years. Among them, 131 cases were type I from stage I to stage II, 21 cases were type II stage 2 and 17 cases were type II stage 3, all with different degree of hyposmia or loss, with the majority of patients with purulent nasal discharge, headache and nasal obstruction , With middle turbinate hypertrophy or