文章摘要
王建,席庆明.切断翼管神经手术治疗变应性鼻炎36例[J].安徽医药,2019,23(3):561-562.
切断翼管神经手术治疗变应性鼻炎36例
Endoscopic nasal tube precise cut wing nerve 36 cases
投稿时间:2017-03-23  
DOI:
中文关键词: 鼻内镜下准确定位翼管神经并予切断,并发症少、疗效确切,可推广使用。 关键词:鼻内镜  翼管神经切断  变应性鼻炎  血管运动性
英文关键词: Nasal endoscopy  Wing tube neurectomy  Allergic rhinitis  Vasomotor
基金项目:
作者单位
王建 滁州市第一人民医院耳鼻喉科,安徽 滁州 239000 
席庆明 滁州市第一人民医院耳鼻喉科,安徽 滁州 239000 
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中文摘要:
      目的 探讨鼻内镜下切断翼管神经治疗变应性鼻炎的体会。 方法 回顾性分析2012年6月至2014年6月滁州市第一人民医院36例变应性鼻炎的手术治疗,以蝶腭孔后缘为标记,使用电钻向后向内磨除腭骨蝶突,暴露翼管神经后给予精确切断。 结果 36例病人均在鼻内镜下精确切断两侧翼管神经,治疗后症状大多数临床症状明显改善,总有效率91.7%;无明显的严重并发症,36例中16例病人术后出现不同程度眼干、无泪、眼困等症状,给予人工泪液点滴,6月内症状缓解;1例病人出现软腭麻木,未处理,3月后症状消失。
英文摘要:
      Objective To explore the endoscopic nasal precise cutting wing tube nerve experience of the treatment of allergic rhinitis effective method. Methods Endoscopic 36 patients with allergic rhinitis,vasomotor rhinitis,sphenopalatine foramen to the trailing edge of the mark,in addition to the use of an electric drill grinding back inward protrusion butterfly palatine bone,nerve after exposure vidian were given precise cut. Results 36 cases of patients were under nasal endoscopy precision cut off two flank nerve.Most clinical symptoms improved significantly after treatment,the total effective rate was 91.7%,with no obvious serious complications.36 cases of postoperative patients appeared different degree of dry eye,no more tears.The symptom such as eye trapped,were relieved in 6 months after giving artificial tears drip.1 case of the soft palate numbness untreated,disappeared in 3 months. Conclusion Accurate positioning wing tube under endoscope nerve and to cut off,with fewer complications,curative effect,can be promoteed.
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