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鼻甲

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Results (1)The agger cells existed in 99% of the cases, the development of the agger cells in 9~16 years old children, and adult had no difference;(2) The morphology of agger cells differed widely, but its relationship to the anterior border of the middle nasal concha, bulla ethmoidalis and nasolacrimal canal was quite stable;(3) The upward pneumatization of the agger cells was not related to deviation of nasal septum, but closely related to the development of the frontal sinus;(4) The anterior nasosinusitis often influenced the agger cells and might result in hyperosteogeny.

结果 ①绝大多数病例(99%)有鼻丘气房,儿童(9~16岁)鼻丘发育与成人相比无差异性;②鼻丘形态变化很大,但与中鼻甲前端、筛泡和鼻泪管的关系是恒定的;③鼻丘向上气化程度与额窦发育关系密切,鼻中隔偏曲对其发育无明显影响;④前组鼻窦的广泛炎症易波及鼻丘,并可出现鼻丘骨质增厚。

RESULTS Most of MCA1 were near the nostril,most of the MCA2 were at about 2cm from the nostril around the head of the inferior turbinate,and almost all the MCA were between the limen nasi and the head of the inferior turbinate.

结果多数受试者的MCA1位于前鼻孔附近,多数受试者的MCA2位于距前鼻孔2 cm的距离附近,与下鼻甲前端出现的位置基本一致,多数受试者MCA多位于鼻阈至下鼻甲前端出现的位置之间。

Endoscopic Ways at nose under the guidance of biological tissue using laser thermal effect, 61 cases of allergic rhinitis patients with nasal ethmoidal nerve distribution area [1] (before the upper lateral wall of the nasal cavity, middle turbinate, inferior turbinate anterior , anterior nasal septum) punctate mucosal tissue coagulation, vaporization treatment, the results of a success rate of 90.16 percent, followed up for 6 months 1 3 years.

在鼻内镜直视引导下,利用激光对生物组织的热效应,对61例过敏性鼻炎患者进行鼻腔筛前神经分布区[1](鼻腔外侧壁前上部、中鼻甲、下鼻甲前部、鼻中隔前部)粘膜组织斑点状凝固、汽化治疗,结果成功率达90.16%,随访6个月一3年,效果良好。

The anatomic variations included 39 deviation of nasal septum,28 paradoxical curvature of the middle turbinate ,11 pneumatized middle turbinate , 16 uncinate hyperplasia ,9 deviation of uncinate, 5 pneumatized uncinate ,15 large ethmoidal bulla and 9 Haller cell.

所有病例均显示钩突、筛窦漏、半月裂、筛泡及中鼻甲等的结构,鼻中隔偏曲39例,中鼻甲反向弯曲28例、中鼻甲气化11例,钩突肥大16例,钩突明显偏移9例,钩突气化5例,筛泡过度气化15例, Haller 气房6例。

Objective To explore the impact on endoscopic sinus surgery by middle turbinate hypothermy plasma for treating the patients who had chronic sinusitis.Methods Forty cases of sinusitis were retrospectively analyzed. All had undergone endoscopic sinus surgery with middle turbinate hypothermy plasma.

目的 探讨中鼻甲低温等离子消融在慢性鼻窦炎鼻内窥镜手术治疗中的作用方法回顾分析40例中鼻甲行低温等离子消融的鼻内窥镜手术的临床资料。

Methods The method review analyzed 58 example patients who accepted the concha nasalis inferior partial excision methods and under the nose endoscope the plasma iatrotechnics.28 example were concha nasalis inferior partial excision methods,and 30 were routine nose endoscopes plasma iatrotechnics.

回顾性分析58例患者接受下鼻甲部分切除术和鼻内镜下等离子治疗术的结果。其中28例下鼻甲部分切除术,30例行鼻内镜下等离子治疗。

Results The pathology of all 10 cases of nasal lymphomas were T cell Non-Hodgkin's lymphoma, Ann Arbor stage Ⅰ~Ⅱin9 and 1 in stage IV. The locations of 10 lymphomae were in the anterior portion of one of the nasal cavities, and the lymphomae extended posteriorly along the inferior and/or media nasalis concha in different extent. No bone structure destruction was found in all stage I cases and the bone of the media nasalis concha as well as the uncinate process was partially absorbed in the stage IV nHL. The skin of the external noses adjacent to the lymphoma of the whole 10 cases were swollen in various severity with disappearance of the subcutaneous fat.

结果 10例鼻腔淋巴瘤病理均为T细胞非何杰金淋巴瘤,9例为Ann arbor I~II期,1例Ann Arbor IV期。10例病变均发生于一侧鼻腔前部,沿下鼻甲向后呈不同程度蔓延。9例I期病变均无骨质破坏,相邻鼻背侧皮肤不同程度肿胀,皮下脂肪消失,1例IV期病变可见患侧中鼻甲及钩突骨质部分吸收,同侧眶内肿瘤侵犯。

The partially middle turbinate was removed on one side and preserved on the opposite side. The time of postoperative debridement for nasal cavity, synechia of nasal cavity, and olfactory changes were assessed.

40例双侧慢性鼻窦炎鼻息肉患者,在鼻内窥镜手术中1侧切除部分中鼻甲,另侧保留中鼻甲,观察术后鼻腔清理时间、粘连情况和手术前后嗅觉变化。

Methods Forty patients with nasal polyp and sinusitis were chosen. The partially middle turbinate was removed on one side and preserved on the opposite side. The time of postoperative debridement for nasal cavity, synechia of nasal cavity, and olfactory changes were assessed.

40例双侧慢性鼻窦炎鼻息肉患者,在鼻内窥镜手术中1侧切除部分中鼻甲,另侧保留中鼻甲,观察术后鼻腔清理时间、粘连情况和手术前后嗅觉变化。

Methods Ninety-one coronal CT scans of chronic sinusitis were analysed with mutimedia software developed by the authors. Sinus CT images were scanned into multimedia computer and the subtle anatomic structures such as pneumatization of the middle turbinate, agger nasi cell, Haller's cell, septal deformity , maxillary sinus hypoplasia , abnormality of uncinate process and ethmoid bulla and so on were measured.

用自行开发的计算机图像分析系统定量分析91例慢性鼻窦炎患者的冠状位鼻窦CT,观测指标包括:骨性解剖结构变异(包括中鼻甲气化、反常曲线中鼻甲、Haller气房、鼻中隔偏曲、上颌窦发育不良、鼻丘气房、钩突气化)、筛漏斗、钩突角度、筛泡等,测量相应结构的冠状位截面积、角度、长度。

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