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目的 采用改良前鼻孔封闭术治疗萎缩性鼻炎 ,探索一种疗效好、操作简便的术式。方法 8例均经病理证实为典型的萎缩性鼻炎表现 ,采用改良前鼻孔封闭术 ,术后 1、3、6个月及 1年进行随访。结果 术后 1个月鼻干燥感明显减轻 ,干痂减少并有少量粘液性鼻涕 ,头痛减轻 ,鼻腔内粘膜较湿润 ,术后半年复查 :6例头痛消失 ,鼻腔脓性分泌物成稀薄粘液性分泌物 ;术后 1年对全部病例再次钳取下鼻甲前端粘膜送活检 ,见已鳞状上皮化生的粘膜逐渐恢复成纤毛柱状上皮 ,并可见腺体及杯状细胞。结论 改良前鼻孔封闭术能阻止吸入的气流直接冲击下鼻甲造成的干燥刺激 ,减少了鼻腔空气紊流量 ,使尚未受损的散在纤毛上皮区得以扩展和再生 ,是一种操作简便、疗效好、易被患者接受的术式
Objective To treat atrophic rhinitis with modified anterior nostril closure and to explore a technique with good curative effect and easy operation. Methods Eight cases were confirmed by pathology as typical atrophic rhinitis. The patients were treated with modified anterior nostril closure, followed by 1,3,6 months and 1 year after operation. Results One month after operation, the nasal dryness was significantly reduced, dry scab was reduced and a small amount of mucous nasal discharge was relieved, the nasal mucosa was moist, and six months after the operation was rechecked: 6 cases of headache disappeared and nasal purulent secretions became lean mucus Secretions; 1 year after the clamp in all cases of the inferior turbinate anterior mucosa sent to biopsy, see squamous metaplasia mucosa gradually recovered into ciliated columnar epithelium, and visible glands and goblet cells. CONCLUSION: The modified anterior nasal cavity occlusion can prevent the inhaled air flow from directly impacting the dry stimulation caused by the inferior turbinate, reducing the amount of air turbulence in the nasal cavity and expanding and regenerating the intact interstitial ciliated epithelium. This is a simple, effective, Easily be accepted by patients surgery