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带蒂骨-骨膜肌瓣鼻腔粘骨膜下植入术治疗萎缩性鼻炎临床观察

Treatment of atrophic rhinitis by transplantation of pediculated bone-suberiosteal muscle flap

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【作者】 汪永干史前妹汪延宏胡春玖林忠明郭涛倪荣生

【Author】 WANG Yong- gan SHI Qian-mei WANG Yan-hong HU Chun-jiu LIN Zhong-ming GUO Tao NI Rong-sheng. Department of Otoerrhinolarngology,The People’s Hospital of Tongling City,Tongling,Anhui 244000,China

【机构】 皖南医学院附属铜陵市人民医院耳鼻咽喉-头颈外科安徽省立医院耳鼻咽喉-头颈外科南京医科大学附属医院

【摘要】 目的探讨萎缩性鼻炎的一种手术治疗方法,观察手术近期及远期疗效。方法采用上颌窦前壁骨-骨膜肌瓣鼻腔粘骨膜下植入术治疗萎缩性鼻炎56例(96侧),术后随访2~10年,根据术前术后临床症状、体征及病理学检查判断近远期治疗效果。结果56例(96侧)显效49例,占87.5%;有效7例,占12.5%;总有效率100%。结论移植自体带蒂骨-骨膜肌瓣具有自身血液供应,骨质不会被吸收、坏死或脱落,该疗法近期疗效显著,远期疗效巩固,无并发症。

【Abstract】 Objective To explore a better method for treatment atrophic rhinitis.Methods 56 patients with atrophic rhinitis(96 lateral)were treated by nasal submucou pediculated bone-suberiosteal muscle flap extracted from anterior wall of sinus maxillaries.Results All patients were followed 2 to 10 years,total effective rate was 100 %, with 49 cases(87.5 %)showing prominent effect.Conclusion The grafted flap cannot be assimilated,felled off and necrosis,because the flap has rich blood supply.This methods has obvious short-term effective and stable long-term effective.No complications were found.

  • 【文献出处】 中国基层医药 ,Chinese Journal of Primary Medicine and Pharmacy , 编辑部邮箱 ,2007年10期
  • 【分类号】R765
  • 【被引频次】1
  • 【下载频次】7
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