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目的探讨鼻内镜下下鼻甲骨部分切除联合骨折外移术治疗慢性肥厚性鼻炎的疗效。方法为72例伴下鼻甲骨性增生的慢性肥厚性鼻炎患者施行鼻内镜下下鼻甲骨部分切除联合骨折外移术。术后随访6个月~1年。记录术后创面愈合、下鼻甲位置及鼻塞改善情况等。结果 67例随访6个月,治愈57例,好转10例,总有效率100%。55例随访1年后有效率94%。鼻腔无粘连和结痂,创面愈合快,无鼻腔干燥和萎缩。结论鼻内镜下下鼻甲骨部分切除联合骨折外移术是治疗伴下鼻甲骨性增生的慢性肥厚性鼻炎的良好术式。鼻腔解剖结构和生理功能均得到了很好的保护。
Objective To investigate the curative effect of nasal endoscopic partial mastectomy combined with fractures in the treatment of chronic hypertrophic rhinitis. Methods 72 patients with chronic hypertrophic rhinitis with nasal hyperostosis underwent endoscopic nasal endoscopic partial resection combined with fracture surgery. Follow-up 6 months to 1 year after operation. Record postoperative wound healing, inferior turbinate location and improvement of nasal obstruction. Results 67 cases were followed up for 6 months, 57 cases were cured, improved in 10 cases, the total effective rate was 100%. 55 cases were followed up for 1 year 94% efficiency. Nasal adhesions and scabs, wound healing fast, no nasal dryness and atrophy. Conclusion Nasal endoscopic partial excision of inferior turbinate bone combined with fracture surgery is a good surgical procedure for the treatment of chronic hypertrophic rhinitis with inferior turbinate bone hyperplasia. Nasal anatomy and physiological functions have been well protected.