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目的 :探讨鼻侧切开上颌窦内侧壁切除术对鼻通气功能的影响。方法 :对 16例鼻腔鼻窦良性肿瘤患者行鼻侧切开上颌窦内侧壁切除术 ,随诊观察 6个月～ 2 .5年 ,观察内容包括主观感觉、CT和声反射鼻测压计检查等项目。结果 :患者在术后 3个月内有鼻阻塞等不适 ,3个月后随着鼻腔内干痂消失则无明显鼻阻塞感 ;术后患侧鼻阻力明显下降 ,而总鼻阻力下降则无前者明显 ;鼻粘膜在术后 1年内随时间的延长逐渐增厚 ,以上颌窦内侧壁下缘残壁和下鼻甲残缘等有骨性隆起部位的增生尤为显著 ,之后则无明显变化。结论 :鼻侧切开上颌窦内侧壁切除术对鼻腔通气功能无显著影响 ,是治疗鼻腔鼻窦肿瘤的理想术式之一。
Objective: To investigate the effect of nasal dissection of maxillary sinus medial wall on nasal ventilation. Methods: Twenty-six patients with benign nasal sinus tumors underwent nasal resection of the medial wall of the maxillary sinus. The patients were followed up for 6 months to 2.5 years. The observation included subjective perception, CT and acoustic reflex nasal piezometer examination project. Results: The patients had discomfort such as nasal obstruction within 3 months after operation. No nasal obstruction was found after 3 months with the disappearance of dry scab in the nasal cavity. The nasal resistance decreased significantly after operation and the total nasal resistance decreased The former is obvious; the nasal mucosa gradually thickens with the extension of time within 1 year after operation. The hyperplasia of the bony prominences such as the residual wall of the inferior wall of the maxillary sinus and the inferior turbinate is particularly significant, but no obvious change afterwards. Conclusion: Nasal lateral maxillary sinus medial resection has no significant effect on nasal ventilation, which is one of the ideal surgical methods for the treatment of nasal sinus tumors.