Batra Pete S
Section of Nasal and Sinus Disorders, Head and Neck Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A71, Cleveland, OH 44195, USA.
Curr Allergy Asthma Rep. 2006 May;6(3):228-31. doi: 10.1007/s11882-006-0039-y.
The introduction of nasal endoscopy has revolutionized the diagnosis and management of patients with sinonasal disorders. The brilliant illumination and magnification afforded by the nasal endoscopes has markedly enhanced the current knowledge of sinonasal anatomy and understanding of patterns of mucociliary clearance. Nasal endoscopy facilitates accurate diagnosis of sinonasal pathology and assessment of response to medical and surgical therapy by serial examination. Rigid telescopes also facilitate office-based procedures, including cultures of purulent secretions and biopsy of sinonasal masses. Indeed, nasal endoscopy forms the foundation of the surgical paradigm of functional endoscopic sinus surgery. In this review, the rationale, technique and current state of endoscopic applications of nasal endoscopy are described, with special focus on the role of endoscopy in the allergist's office.
鼻内镜的引入彻底改变了鼻窦疾病患者的诊断和治疗方式。鼻内镜提供的明亮照明和放大功能显著增进了当前对鼻窦解剖结构的认识以及对黏液纤毛清除模式的理解。鼻内镜通过连续检查有助于准确诊断鼻窦病变，并评估药物和手术治疗的效果。硬性望远镜还便于在门诊进行操作，包括脓性分泌物培养和鼻窦肿物活检。事实上，鼻内镜构成了功能性内镜鼻窦手术外科模式的基础。在本综述中，描述了鼻内镜检查的基本原理、技术及内镜应用的现状，特别关注了鼻内镜在过敏科门诊中的作用。
