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目的 :总结鼻内窥镜下行鼻中隔成形术的优点。方法 :分析鼻内窥镜下鼻中隔成形术 166例的临床资料。结果 :在鼻内窥镜下行鼻中隔成形术 166例中 142例治愈 ,治愈率 85 5% ,好转 2 4例 ,好转率14 5%。结论 :鼻内窥镜下行鼻中隔手术照明好 ,术野清晰 ,在直视下手术 ,易剥离粘连处和及时发现粘膜损伤 ,术后并发症少 ;特别是行局限性鼻中隔切除术和同期完成鼻窦手术时更显示了它的优越性。随着鼻内窥镜技术的普及和鼻中隔偏曲对鼻窦引流影响的深入研究 ,鼻中隔手术的适应证在扩大 ,鼻内窥镜下行鼻中隔成形术有取代传统手术的趋势。
Objective: To summarize the advantages of nasal endoscopic sinus surgery. Methods: The clinical data of 166 cases of nasal septoplasty under nasal endoscope were analyzed. Results: 142 cases of nasal septoplasty under nasal endoscopy were cured in 142 cases, the cure rate was 85.5%, improvement in 24 cases, the improvement rate of 14.5%. Conclusion: Nasal endoscopic surgery under nasal septum illumination, clear surgical field, under direct vision surgery, easy peel adhesions and timely detection of mucosal injury, less postoperative complications; especially the limitations of nasal septum resection and simultaneous sinus Surgery also shows its superiority. With the popularity of nasal endoscopy and nasal septum deviation on the impact of sinus drainage in depth, indications for nasal septum expansion, nasal endoscopic nasal septoplasty has the tendency to replace the traditional surgery.