摘要
目的探讨治疗婴儿双侧先天性后鼻孔闭锁的手术方法及疗效。方法采用鼻内镜下经鼻入路低温等离子微创治疗4例婴儿双侧先天性后鼻孔闭锁,术后未放置扩张管,给予抗感染、雾化吸入及生理性海水清洁鼻腔,随访24个月,对疗效进行评价。结果 4例均获满意疗效,鼻内镜检查后鼻孔均通畅,鼻腔通气良好,未发生再闭锁及肉芽增生,未出现任何并发症。结论鼻内镜下经鼻低温等离子微创治疗婴儿先天性后鼻孔闭锁,对正常组织损伤小,出血少,未发生再闭锁,临床应用疗效满意。
Objective To investigate the surgical treatment of bilateral congenital choanal atresia in infants.Methods Through minimally-invasive operation, four infants with bilateral congenital choanal atresia were treated with low-temperature plasma under nasal endoscope, and not be placed dilatation tube post-surgery. The nasal cavity was cleaned by normal saline(NS), anti-infection and aerosol inhalation. The efficacy was evaluated after a follow-up of 24 months.Results All the 4 cases obtained satisfactory curative effect. And after endoscopic examination, all the nostrils were unobstructed, nasal ventilation was good;there was no reatresia, granulation hyperplasia and no complications.Conclusion The minimally invasive treatment of congenital posterior nostril atresia by low-temperature nasal plasma under nasal endoscope in infants has less damage to normal tissues, less bleeding, and no re-atresia. The effect of the treatment is satisfactory in clinical application.
作者
纪尧峰
张凤飞
成晨
金冬莲
JI Yao-feng;ZHAHG Feng-fei;CHENG Chen;JIN Dong-lian(Department of Otolaryngology,Xuzhou Children’s Hospital Affiliated to Xuzhou Medical University,Xuzhou 221006,China;Department of Otolaryngology,Suqian Children’s Hospital,Suqian 223800,china)
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2019年第6期664-666,共3页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
后鼻孔闭锁
先天性
低温等离子
鼻内镜
婴儿
Choanal atresia
Congenital
The low-temperature plasma
Nasal endoscope
Infant
