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目的:探讨前组筛窦及上颌窦炎鼻内镜手术对伴有早期慢性肥厚性鼻炎的治疗效果。方法:2003-2004年采用前组筛窦及上颌窦炎鼻内镜手术治疗早期慢性肥厚性鼻炎54例。全部病例术前均行鼻内镜及CT检查,术后随访1年以上。结果:全部病例中,50例(92.59%)术后鼻腔通气良好或改善,下鼻甲大小、形态和色泽基本接近正常或较前改善。结论:前组筛窦及上颌窦炎鼻内镜手术对伴有早期慢性肥厚性鼻炎具有较好的治疗效果,对避免下鼻甲干燥或萎缩具有积极意义。
Objective: To investigate the treatment effect of anterior end ethmoid and maxillary sinusitis endoscopic sinus surgery with early chronic hypertrophic rhinitis. Methods: From 2003 to 2004, 54 cases of early chronic hypertrophic rhinitis were treated by anterior ethmoid sinus and maxillary sinusitis endoscopic surgery. All patients underwent nasal endoscopy and CT before surgery, followed up for more than 1 year. RESULTS: In all cases, postoperative nasal ventilation was good or improved in 50 patients (92.59%). The size, shape and color of the inferior turbinate were almost normal or improved. Conclusion: The former ethmoidal sinus and maxillary sinusitis endoscopic surgery with early chronic hypertrophic rhinitis has a good therapeutic effect, to avoid the inferior turbinate dry or atrophy has a positive effect.