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目的 探讨更为完善的中鼻甲处理方式 ,防止鼻内窥镜术后中鼻甲粘连。方法 通过对 144侧中鼻甲分别或同时采取骨折内移、前下缘切除、下缘切除、片状切除及中鼻甲骨保留等 ,观察其术后粘连和对术后转归的影响。结果 术后发生中鼻甲前端粘连 12侧 ,中段粘连 2侧 ,嗅裂及中隔粘连各 1侧 ,1期恢复良好 12 8侧 ( 88.89% )。经处理后仍致上颌窦口狭窄 2侧 ( 1.39% ) ,中鼻甲前端轻度粘连 4侧 ( 2 .78% ) ,均不影响术后转归。结论 有效内移并缩小中鼻甲前下缘是保留中鼻甲而不影响术后转归的关键 ,轻微中鼻甲前端粘连不影响其术后转归。
Objective To explore a more complete treatment of middle turbinate to prevent post-nasal endoscopic turbinate adhesions. Methods One hundred and seventy-four cases of middle turbinate were treated with internal fixation of fractures, removal of anterior and inferior margin, resection of the inferior margin, lamellar resection and reservation of middle turbinate to observe the effect of postoperative adhesion and postoperative outcome. Results There were 12 sides of middle turbinate anterior adhesions, 2 middle adhesions, 1 side of olfactory fissure and septal adhesions, and 1 case of 12 cases (88.89%) recovered well after operation. After treatment, maxillary sinus ostium stenosis (1.39%) and mild anterior turbinate (4) sides (2.78%) still had no effect on postoperative outcome. Conclusions The effective internal shift and the reduction of the anterior inferior border of middle turbinate are the keys to retain the middle turbinate without affecting the outcome of the operation. The slight middle turbinate anterior adhesion does not affect the postoperative outcome.