鼻腔结构不良综合征及其对策

目的提出鼻腔结构不良的基本概念。探讨鼻腔结构不良的诊断和治疗问题。方法通过对2000~2002年55例鼻腔结构不良的病例分析,介绍各种鼻腔结构不良的诊断和治疗方法。结果55例鼻腔结构不良中,鼻中隔偏曲合并下鼻甲骨性肥大或内移32例,鼻中隔偏曲合并中鼻甲骨下垂、下鼻甲内移12例,鼻中隔偏曲合并鼻前庭狭窄6例,筛骨垂直板及筛泡过度气化5例,均经鼻窦内镜行鼻腔成形术治疗,随访6个月至1年,疗效满意。结论鼻腔结构不良应引起临床的充分重视。只有通过鼻内镜行鼻腔成形手术治疗,才能取得满意疗效。

The unhealthy nasal cavity structure and its treatment

Objective To define the concept of unhealthy nasal cavity structure and to discuss its diagnosis and treatment.Methods Fifty-five cases of unhealthy nasal cavity structure treated between 2000 and 2002 were reviewed and analyzed.Results Thirtytwo cases had nasal septal deviation(NSD) and inferior turbinate hypertrophy or interior displacement,12 cases had NSD and middle turbinate prolapse plus interior displacement of inferior turbinate,6 cases had NSD and nasal vestibule stenosis,5 cases had over-pneumatic ethmoid perpendicular plate.All cases were treated with nasal cavity plasty under nasal endoscope,and were followed up for (0.5) to 1 year after surgery.Good offect was obtained in all cases.Conclusion More attention should be paid to unhealthy nasal cavity structure,which can be effectively treated by comprehensive nasal cavity plasty through nasal endoscope.