[1]李娜,陈敏,姚燕婷.鼻内镜手术治疗少年患者的鼻腔结构异常[J].中国微创外科杂志,2008,08(2):99-100.
 Li Na*,Chen Min*,Yao Yanting..Anatomical Variations of the Nose in Children Receiving Endoscopic Sinus Surgery[J].Chinese Journal of Minimally Invasive Surgery,2008,08(2):99-100.
点击复制

鼻内镜手术治疗少年患者的鼻腔结构异常()
分享到:

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年2期
页码:
99-100
栏目:
出版日期:
2008-10-24

文章信息/Info

Title:
Anatomical Variations of the Nose in Children Receiving Endoscopic Sinus Surgery
作者:
李娜陈敏姚燕婷
青岛大学医学院附属医院耳鼻咽喉头颈外科,青岛266003
Author(s):
Li Na* Chen Min*Yao Yanting.
*Department of Otolaryngology and HeadNeck Surgery, Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, China
关键词:
少年鼻炎鼻窦炎鼻中隔偏曲鼻内镜治疗效果
Keywords:
ChildRhinitisNasosinusitisSeptal deviationEndoscopyTherapeutic outcomes
分类号:
R765.
文献标志码:
A
摘要:
目的探讨药物治疗无效的少年慢性鼻-鼻窦炎患者的内镜治疗方式与效果。方法因鼻腔结构异常伴发慢性鼻-鼻窦炎行鼻内镜手术治疗的少年患者112例,年龄12~17岁。在鼻内镜下行鼻中隔成形术,酌情行中鼻甲、下鼻甲成形术,合并腺样体肥大及鼻息肉者同期处理。结果随访6~23个月,平均13个月,术后症状消失110例(98.2%),无明显改善2例(1.8%)。结论鼻内镜下鼻中隔成形术,结合中鼻甲或下鼻甲成形,手术细致、微创,可以有效纠正少年患者鼻腔结构异常,解决药物不能解决的解剖问题,为鼻腔生理功能的恢复创造条件。
Abstract:
ObjectiveTo evaluate the outcomes of endoscopic sinus surgery (ESS) for children with chronic rhinosinusitis, who had no response to medication.MethodsA total of 112 children (aged 12 to 17 years) with chronic rhinosinusitis caused by abnormal anatomy of the nose cavity were treated by ESS in our hospital. Septorhinoplasty was performed on the patients under an endoscope. Conchoplasty, adenoidectomy, or nasal polypectomy was performed simultaneously if necessary.ResultsThe patients were followed up for 6-23 months (mean 13 months). The symptoms of rhinosinusitis disappeared in 110 patients (98.2%); whereas the other 2 patients showed no obvious improvement after the operation.ConclusionsBy using microinvasive ESS combined with conchoplasty, children with rhinosinusitis caused by abnormal anatomy that does not respond to medication could be cured.

参考文献/References:

[1]许庚,李源.儿童慢性鼻窦炎手术治疗的思考与临床诊疗指引.中华耳鼻咽喉科杂志,2003,38(4):241-242.
[2]蔡其刚,赵永宏,胡海涛,等.鼻窦内镜手术治疗青少年慢性鼻窦炎、鼻息肉156例.中国微创外科杂志,2007,7(8):779-780.
[3]金建新,高金建,黄赛瑜,等.鼻内窥镜下局限性鼻中隔成形术.中国内镜杂志,2002,8(11):86,88.
[4]陶泽璋,黄小林,华清泉,等.青少年鼻中隔成形术.中华耳鼻咽喉科杂志,2001,36(3):22.
[5]曹小国.青少年鼻中隔偏曲微创外科治疗探讨.中国耳鼻咽喉颅底外科杂志,2003,9(2):114-115.
[6]Tuncer U,Aydogan B,Soylu L,et al.Chronic rhinosinusitis and adenoid hypertrophy in children.Am J Otolaryngol,2004,25(1):5-10.
[7]黄选兆,汪吉宝,主编.实用耳鼻咽喉科学.北京:人民卫生出版社,1998.248-250.

备注/Memo

备注/Memo:
姚燕婷手术室
更新日期/Last Update: 2013-10-22