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慢性鼻窦炎手术方法的探讨
引用本文:马明杰,刘运章.慢性鼻窦炎手术方法的探讨[J].临床耳鼻咽喉头颈外科杂志,2003,17(8):454-455.
作者姓名:马明杰  刘运章
作者单位:1. 上海瑞金医院集团闵行医院耳鼻咽喉科,上海,201100
2. 上海第二医科大学附属新华医院耳鼻咽喉科
摘    要:目的:探讨治疗慢性鼻窦炎的手术方法及中鼻甲前端部分切除术在治疗慢性鼻窦炎中的作用。方法:对87例(155侧)慢性鼻窦炎患者,根据其发病原因及病情不同分为3类,采用相应的手术方法进行治疗。结果:第l类43侧,治愈39侧,好转4侧;第2类8l侧,治愈69侧,好转l0侧,无效2侧;第3类3l侧,治愈17侧,好转9侧,无效5侧。总治愈率为80.6%,有效率为95.5%。结论:对慢性鼻窦炎的手术治疗应因病因、病情不同,采用不同的手术方法,中鼻甲前端部分切除术对治疗慢性鼻窦炎具有重要作用。

关 键 词:鼻窦炎  鼻甲  内镜鼻窦手术
文章编号:1001-1781(2003)08-0454-02
修稿时间:2003年1月21日

Exploring of surgery solution for chronic sinusitis treatment and application of partial middle turbinectomy
MA Mingjie,LIU Yunzhang.Exploring of surgery solution for chronic sinusitis treatment and application of partial middle turbinectomy[J].Journal of Clinical Otorhinolaryngology,2003,17(8):454-455.
Authors:MA Mingjie  LIU Yunzhang
Institution:Department of Otolaryngology, Minhang Central Hospital, Ruijin Hospital Group, SSMU, Shanghai 201100.
Abstract:Objective:To explore the effective surgery solution for chronic sinusitis treatments and the effect of partial middle turbinectomy which excise the head of middle turbinate in treating chronic sinusitis.Method:The chronic sinusitis patients were divided into three groups due to its cause and its specific ill state, each group was treated with suitable surgery solution.Result:Thirty nine were cured and 4 improved of 43 sides in the first group. 69 were cured, 10 improved and 2 ineffective in 81 sides for the second group.17 were cured, 9 improved and 5 ineffective in 31 sides for the third group. The collective statistics showed that 80.6 % were cured and the total effective rate were 95.5 %.Conclusion:Different surgery solutions can be chosen in the treatment of chronic sinusitis based on its cause and its specific ill state, and partial middle turbinectomy have important effect.
Keywords:Sinusitis  Turbinate  Endoscopic sinus surgery
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