CAJ | 학술논문

目的：探讨功能性鼻内窥镜手术不同中鼻甲处理方法与慢性鼻窦炎手术疗效及鼻功能恢复之间的关系。方法：为l62例、302侧慢性鼻窦炎和(或)鼻息肉患者行功能性鼻内窥镜手术。中鼻甲病变包括肥厚及息肉样变。依中鼻甲切除与否分为中鼻甲切除组与保留组，按分层抽样、摒弃Ⅰ型和Ⅱ型l期病例的原则分组。结果：(1)中鼻甲保留组治愈、好转及无效分别为72％(36/50)、28％(14/50)和O；中鼻甲切除组治愈、好转及无效分别为76％(38／50)、24％(12／50)和0。经x2检验两者差异无显著性；(2)中鼻甲保留组术后平均清理时间12.2d，中鼻甲切除组术后平均清理时间10.8d，差异有高度显著性(t=5.09，P<0.01)，(3)术后随访6月～1年，中鼻甲保留组出现黏连6例(12％)，中鼻甲切除组则无黏连。结论：保留病变中鼻甲可延长术后鼻腔清理时间，增加术后鼻腔黏连机会。行功能性鼻内窥镜手术时应酌情切除病变部分的鼻甲。
목적：탐토공능성비내규경수술불동중비갑처리방법여만성비두염수술료효급비공능회복지간 적관계。방법：위l62례、302측만성비두염화(혹)비식육환자행공능성비내규경수술。중비갑병변포괄비 후급식육양변。의중비갑절제여부분위중비갑절제조여보류조，안분층추양、병기Ⅰ형화Ⅱ형l기병례적원 칙분조。결과：(1)중비갑보류조치유、호전급무효분별위72％(36/50)、28％(14/50)화O；중비갑절제조치 유、호전급무효분별위76％(38／50)、24％(12／50)화0。경x2검험량자차이무현저성；(2)중비갑보류조술후 평균청리시간12.2d，중비갑절제조술후평균청리시간10.8d，차이유고도현저성(t=5.09，P<0.01)，(3)술 후수방6월～1년，중비갑보류조출현점련6례(12％)，중비갑절제조칙무점련。결론：보류병변중비갑가연 장술후비강청리시간，증가술후비강점련궤회。행공능성비내규경수술시응작정절제병변부분적비갑。
Objective:To study the curative effects of different treating techniques for middle turbinate with functional endoscopic sinus surgery (FESS) for sinusitis and/or nasal polyps. Method: 162 cases (302 sides) of chronic sinusitis and/or nasal polyps were treated with FESS. They were divided into two groups with middle turbinate resected or reserved. Results:( 1)The cure rates and effective rates in the groups with middle turbinate resected and reserved were 76 % ( 38/50 ), 24 % ( 12/50 ) and72 % (36/50), 28 % ( 14/50 ) respectively, there was no significant difference ( P > 0.05, x2 = test). (2)The average time of postoperative debridement of nasal cavity in the groups with middle turbinate resected and reserved were 10.8d and 12.2d respectively. There was high marked difference( t = 5.09, P < 0.01). (3) There was no synechia in the group with middle turbinate resected.6 cases in the group with middle turbinate reserved synechia. Conclusion:The partial middle turbinectomy for middle turbinate in FESS is necessary.