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目的:探讨改良Wigand修正性鼻内镜术在复发性慢性鼻窦炎、鼻息肉Ⅲ型中的疗效。方法:对113例复发性慢性鼻窦炎、鼻息肉Ⅲ型患者行“由前→后→前”的改良Wigand修正性鼻内镜手术,将后鼻孔.上颌窦口,中鼻甲残端和蝶窦的顶、侧壁作为4大固定的解剖标志,所有患者双侧同时行全筛窦切除。结果:治愈76例(67.3%),好转31例(27.4%),无效6例(5.3%),总有效率为94.7%。术中平均出血165ml.平均手术时间小于1h,无严重并发症发生。结论:改良Wigand术是一种“由前→后→前”的安全、快速、有效的修正性鼻内镜手术方法。4个固定解剖标志的运用对彻底切除筛窦,防止严重并发症的发生有重要作用。
Objective: To explore the effect of modified Wigand modified endoscopic sinus surgery in recurrent chronic sinusitis and nasal polyps type Ⅲ. Methods: A total of 113 patients with recurrent chronic sinusitis and nasal polyps type Ⅲ underwent modified Wigand modified endoscopic sinus surgery, ranging from anteroposterior to posterior to anterior. The posterior nares, maxillary sinus ostium, The sphenoid sinus top and side wall as 4 large fixed anatomical landmarks, all patients simultaneously bilateral full ethmoid sinus resection. Results: 76 cases (67.3%) were cured, 31 cases (27.4%) were improved, 6 cases (5.3%) were ineffective, and the total effective rate was 94.7%. The average intraoperative bleeding 165ml. The average operation time less than 1h, no serious complications. Conclusion: The modified Wigand technique is a safe, rapid and effective method for correcting endoscopic sinus surgery. The use of four fixed anatomical landmarks on the complete removal of the ethmoid, prevent the occurrence of serious complications play an important role.