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美国巴尔的摩消息:约翰斯·霍普金斯大学的一位专家说,用特殊照明的小型窥镜诊断和治疗慢性鼻窦炎和急性轻度鼻窦感染可能在处理这些疾病方面带来重要的改革. 本世纪初以来,对抗生素治疗无效的鼻窦疾病病人的传统疗法一直是广泛切除鼻窦内粘膜组织.这种方法要求住院、全麻和手术后鼻填塞.约翰斯·霍普金斯大学头颈外科、耳鼻喉科副教授DavidKennedy引进了欧洲内窥镜鼻窦外科技术。到目前为止,他治疗了25名鼻窦病病人.此技术为数以千计的病人提供了更安全、更精确和较少疼痛的疗法。奥地利外科医师Wilhelm Messerklinger首创的技术是将直径3～4毫米的窥镜通过鼻腔插入鼻窦腔。Kennedv说:“我们把窥镜正对鼻窦开口外,检查肿胀部位和寻找炎症或感染的细微征象。”他通过一个稍加改良的内窥镜将特制的外科器械放入,仅切除病变组织和打开阻塞的鼻窦.此手术不需要外部切口,而且对正常结构损害很小.可在门诊局麻下完成或作为诊室内的手术以避免住院.
Baltimore, United States: An expert at Johns Hopkins University said using small, specially illuminated mirrors to diagnose and treat chronic sinusitis and acute mild sinus infections may bring important reforms in dealing with these diseases. Traditional therapies for patients with sinus diseases that have failed antibiotic therapy since the beginning of the century have been the extensive removal of mucosal tissue from the sinuses, which requires hospitalization, general anesthesia and postoperative nasal packing. Johns Hopkins Head and Neck Surgery, Ear & Nose David Kennedy, an associate professor of laryngology, introduced the European endoscopic sinus surgery. So far, he has treated 25 patients with sinus diseases, a technique that provides safer, more accurate and less painful treatment to thousands of patients. Austrian surgeon Wilhelm Messerklinger pioneered the technique of inserting a scope of 3 to 4 mm in diameter into the sinus cavity through the nose. Kennedv said: “We’re looking at the speculum outside the opening of the palate, looking at the swollen area and looking for subtle signs of inflammation or infection.” He put a special surgical instrument in place with a slightly modified endoscope to remove only diseased tissue and Open obstructive sinus. This procedure requires no external incision and minimal damage to normal structures. It can be done under local anesthesia or as a surgical procedure to avoid hospitalization.