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目的探讨鼻内镜下治疗结构性鼻炎的方法与疗效。方法对128例结构性鼻炎患者,结合其症状、鼻内镜检查和鼻窦CT分析结果制定个性化手术方案,在鼻内镜下进行鼻腔结构的功能性重塑手术治疗,主要包括:①鼻中隔鼻成形术;②功能性下鼻甲手术;③中鼻甲成形术;④窦口鼻道复合体功能性切除术。结果术后随访10～20个月,平均15个月。痊愈90例(70.31%),有效35例(27.34%),无效3例(2.34%),总有效率97.65%。结论结构性鼻炎是由于鼻腔结构异常所致功能异常的疾病,鼻内镜下鼻腔结构的功能性重塑手术治疗效果好。
Objective To explore the method and effect of endoscopic treatment of structural rhinitis. Methods A total of 128 patients with structural rhinitis were enrolled in this study. According to their symptoms, endoscopic findings and results of CT analysis of the sinuses, a personalized surgical protocol was developed. Endoscopic nasal reconstruction was performed under endoscopic sinus surgery, including: Angioplasty; ② functional inferior turbinate surgery; ③ middle turbinate angioplasty; ④ sinus ostiomeatal complex functional excision. Results The patients were followed up for 10 to 20 months with an average of 15 months. 90 cases (70.31%) were cured, 35 cases (27.34%) were effective, 3 cases (2.34%) were ineffective, and the total effective rate was 97.65%. Conclusions Structural rhinitis is a disorder characterized by abnormal nasal structure. The functional remodeling of the nasal structure under endoscopic sinus surgery is effective.