摘要
慢性鼻窦炎即鼻窦黏膜的慢性炎症性疾病,主要临床表现有鼻塞、流涕、头疼及嗅觉减退等,其发病率高,常合并下呼吸道疾病,如哮喘,影响患者正常生活、工作,现已成为严重的公共健康问题。近年来,随着鼻内镜技术的不断发展,经鼻内镜鼻窦手术已经成为规律保守治疗12周后效果不佳的慢性鼻窦炎患者的主要治疗方法。但对合并鼻中隔偏曲或鼻甲病变的慢性鼻窦炎患者行鼻内镜鼻窦手术时是否处理及如何处理仍有不同意见。本文就上述问题及不同处理策略对慢性鼻窦炎术后疗效的影响进行了综述与探讨。
Chronic sinusitis is a chronic inflammatory disease of nasal sinus mucosa.The main clinical manifestations are nasal congestion,runny nose,headache and anosmia,etc.Chronic sinusitis is a high incidence of diseases,often associated with lower respiratory diseases such as asthma.It has become a serious public health problem that affects patients’normal life and work.In recent years,with the continuous development of nasal endoscopic techniques,endoscopic sinus surgery has become the main treatment method for chronic sinusitis patients with poor results after 12 weeks of regular treatment.However,there are still different opinions on whether to treat nasal septal deviation,middle turbinate and inferior turbinate lesions,and how to treat them during endoscopic sinus surgery for chronic sinusitis patients with nasal septal deviation and turbinate lesions.This paper discussed the above issues,and summarized the influence of different strategies on the postoperative curative effect of chronic sinusitis.
作者
金德燕
尚小领
薛刚
李燕萍
JIN Deyan;SHANG Xiaoling;XUE Gang;LI Yanping(Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,China)
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2020年第4期468-472,共5页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
慢性鼻窦炎
鼻腔解剖变异
鼻内镜鼻窦手术
Chronic sinusitis
Anatomic variation of nasal cavity
Endoscopic sinus surgery
作者简介
第一作者:金德燕,女,在读硕士研究生;通信作者:尚小领,Email:18034517334@163.com。
