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功能性鼻旁窦内窥镜手术分期处理的探讨
作者:冯立人 谭长强 
单位:人,南京铁道医学院附属医院耳鼻咽喉科,江苏南京,210009
关键词:鼻旁窦炎 外科手术 内窥镜 
分类号:R765.4+1
出版年·卷·期(页码):2000·19·第三期(184-185)
摘要:

目的:探讨减少功能性鼻旁窦内窥镜手术(FESS)中的出血、解剖标志不清、视野模糊等现象,使手术更为安全、彻底的方法.方法:对27例慢性鼻旁窦炎患者在手术中采用"二步法"(即将鼻腔、鼻旁窦的病变分二期处理),并与同期采用常规方法(即一次处理鼻腔、鼻旁窦病变)治疗的26例慢性鼻旁窦炎患者相比较.结果:"二步法"组在内窥镜下处理鼻旁窦病变时出血减少,平均出血量为153.7ml,平均手术时间为148.9min,术后清理残留病变的次数为5.6次;而常规方法组的平均出血量为196.2ml,平均手术时间为177.4min,术后清理残留病变的次数为7.8次.结论:"二步法" 有较大优越性,不失为有效的FESS方法.

Objective  The purpose of the functional endoscopic sinus surgery(FESS) by two stages was to diminish hemorrhage and prevent confusing anatomic sign and blurring visual field during operation.Method  Twenty  seven cases of chronic sinusitis were operated on using “this” method by which the lesions in nasal cavity and sinus were treated in two stages and compared to 26 cases of chronic sinusitis by routine method.Result  In “two stages” group,bleeding was decreased,lens adhering and visual blurring was diminished.The mean blood loss was 153.7?ml,the mean operating time was 148.9 minutes,and the mean cleaning up of  rudimental diseased tissue was 5.6 times while that in controls was 196.2?ml, 177.4 minutes and   7.8   times,respectively.Conclusion  There is a great advantage in “two-stages” method,and it can be used as an effective measure in FESS.

参考文献:

[1] 许庚, 李源. 功能性内窥镜鼻旁窦外科, 1995
[2] Kennedy D W. Functional endoscopic sinus surgery, 1985
[3] 李源, 许庚. 内窥镜鼻旁窦手术中出血问题的探讨, 1996 

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