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目的:观察鼻中隔、多鼻窦联合手术的治疗效果并探讨其安全可行性。方法:56例鼻腔鼻窦疾病的患者均在局部麻醉下一次性接受鼻中隔矫正术、上颌窦根治术、鼻息肉切除术、筛窦(额窦、蝶窦)开放术及中、下鼻甲手术,并观察术后的疗效和并发症。结果:56例患者均顺利完成手术,随访6个月～2年,治愈30例(53.57%),好转23例(41.07%),无效3例(5.36%),总有效率94.64%,出现并发症20例(35.71%),所有并发症经治疗均获痊愈,无鼻中隔穿孔等严重并发症发生。结论:在局部麻醉下能一次性完成鼻中隔、多鼻窦(鼻鼻窦)联合手术,且不会增加和加重鼻鼻窦手术的并发症;因该术式疗效好,是一种安全可行的手术方法,能明显减少鼻息肉及鼻窦炎的复发。
Objective: To observe the therapeutic effect of nasal septum and multiple sinus surgery and explore its safety and feasibility. Methods: Fifty-six patients with nasal sinus diseases were treated with nasal septum surgery, maxillary sinus surgery, nasal polypectomy, ethmoid sinus (frontal sinus and sphenoid sinus) open surgery and middle and inferior turbinate surgery under local anesthesia. Observe the postoperative efficacy and complications. Results: All the 56 patients completed the operation successfully. The follow-up ranged from 6 months to 2 years. Thirty patients (53.57%) were cured, 23 (41.07%) were cured, 3 (5.36%) were ineffective, and the total effective rate was 94.64% In 20 cases (35.71%), all complications were cured after treatment. No serious complications such as perforation of nasal septum occurred. Conclusion: Under local anesthesia, nasal septum and multiple sinus (nasal and sinus) surgery can be completed in one time without increasing or aggravating the complications of nasal sinus surgery. Because of its good curative effect, it is a safe and feasible surgical method, Can significantly reduce the recurrence of nasal polyps and sinusitis.