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目的 评价鼻中隔与多个副鼻窦联合手术的安全性和治疗效果。方法 72名双侧上颌窦炎、筛窦炎 ( 2 3人伴鼻息肉 )、鼻中隔偏曲、下鼻甲肥大 ( 11名 )的患者 ,在全麻下一次接受鼻中隔粘膜下矫正术、传统的上颌窦根治术、鼻息肉摘除术、筛窦切除术及下鼻甲部分切除术。对其术中出血、围手术期的术后疼痛、面部肿胀、心率、体温、血氧饱和度、并发症 ,及术后 1年鼻通气、鼻腔炎性分泌物、鼻息肉和副鼻窦炎复发的情况 ,分别于一侧上颌窦根治术、双侧鼻息肉筛窦切除术、单纯鼻中隔粘膜下矫正术组 ,进行了对照分析。结果 联合手术组除术中出血较多外 ,围手术期各项指标与对照组无明显差别 ,但术后疗效明显提高。结论 全麻下鼻中隔与多副鼻窦一次性手术是疗效较好和安全可行的 ,并能减少鼻息肉及副鼻窦炎的复发率。
Objective To evaluate the safety and therapeutic effect of nasal septum and multiple paranasal sinus surgery. Methods A total of 72 patients with bilateral maxillary sinusitis, ethmoid sinus (23 with nasal polyps), deviation of the nasal septum and hypertrophy of the inferior turbinate (11) underwent nasal septum submucosal surgery under general anesthesia. The traditional maxillary Sinus surgery, nasal polypectomy, ethmoid sinus resection and partial nasotomy. Its intraoperative bleeding, perioperative postoperative pain, facial swelling, heart rate, body temperature, oxygen saturation, complications, and 1 year postoperative nasal ventilation, nasal inflammatory secretions, nasal polyps and sinusitis recurrence , Respectively, on one side of the maxillary sinus surgery, bilateral nasal polyps ethmoidectomy, nasal septum submucosal surgery alone, a controlled analysis. Results In addition to intraoperative bleeding more than the surgical group, the perioperative indicators and the control group no significant difference, but the postoperative effect was significantly improved. Conclusion Under general anesthesia, one-time operation of nasal septum and multiple pairs of sinuses is effective and safe, and can reduce the recurrence rate of nasal polyps and sinusitis.