[鼻内镜鼻窦手术中保留中鼻甲的可行性及临床意义]
[Possibility and clinical significance of reservation middle turbinate in endoscopic sinus surgery].
作者信息
Zhang G, Liu X, Xu G
机构信息
Department of Otorhinolaryngology, Third Affiliated Hospital, Sun Yat-sen University of Medical Sciences, Guangzhou 510630.
出版信息
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1999 Feb;34(1):30-2.
OBJECTIVE
To study the possibility and significance or reservation of the middle turbinate in endoscopic sinus surgery for sinusitis and/or nasal polyps.
METHODS
(1) The morphology and mucosal ultrastructure of middle turbinate were observed preoperatively and postoperatively by nasal endoscopy and scanning electron microscopy in 20 cases; (2) The proportions of the septal turbinate formation and the closure of ethmoid sinus cavity were investigated postoperatively by nasal endoscopy in 60 cases with middle turbinate reserved and 60 cases with middle turbinate resected.
RESULTS
(1) The morphology and mucosal ultrastructures of reserved middle turbinate were observed to have recovered postoperatively; (2) The proportions of the septal formation and the closure of ethmoid sinus cavity in the groups with middle turbinates reserved and resected were 13.3%, 18.3% and 58.3%, 51.7%, respectively (P < 0.01).
CONCLUSION
It is possible that the structure of reserved middle turbinate may return to normal and it is important to save the middle turbinates to improve clinical cure rate.
目的
探讨鼻窦炎和/或鼻息肉鼻内镜手术中保留中鼻甲的可能性及意义。
方法
（1）对20例患者术前及术后通过鼻内镜和扫描电子显微镜观察中鼻甲的形态及黏膜超微结构；（2）对60例保留中鼻甲及60例切除中鼻甲的患者术后通过鼻内镜调查鼻中隔鼻甲形成及筛窦腔闭合的比例。
结果
（1）观察到保留的中鼻甲术后形态及黏膜超微结构恢复；（2）保留中鼻甲组和切除中鼻甲组的鼻中隔形成及筛窦腔闭合比例分别为13.3%、18.3%和58.3%、51.7%（P<0.01）。
结论
保留的中鼻甲结构有可能恢复正常，保留中鼻甲对提高临床治愈率具有重要意义。
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