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首页> 美国卫生研究院文献>Indian Journal of Otolaryngology and Head Neck Surgery >A Comparison of Microdebrider Assisted Endoscopic Sinus Surgery and Conventional Endoscopic Sinus Surgery for Nasal Polypi
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A Comparison of Microdebrider Assisted Endoscopic Sinus Surgery and Conventional Endoscopic Sinus Surgery for Nasal Polypi

机译：微清创术辅助内窥镜鼻窦手术与常规内窥镜鼻窦手术治疗鼻息肉的比较

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摘要

Nasal polyposis is often encountered in rhinology practice. Those who fail conservative management, a definitive surgery is essential to achieve sufficient ventilation and drainage of the affected sinuses by using either microdebrider or conventional instruments for functional endoscopic sinus surgery (FESS). A prospective study was conducted on 40 cases of nasal polypi in a tertiary care hospital. 20 cases were operated by conventional endoscopic instruments and 20 using the microdebrider. The study aimed at comparing the intra operative (blood loss, duration of surgery) and post operative results (crusting, scarring, discharge, symptoms, recurrence) between the two groups using Lund–Mackay scoring system and the data was statistically analysed. There was no statistically significant difference in surgical outcome for patients when either conventional endoscopic instruments or microdebrider was used. However, there was a significant symptomatic improvement in cases undergoing microdebrider FESS. Microdebrider assisted polypectomy is precise, relatively bloodless surgery though the precision depends on the surgeon’s anatomical knowledge and operative skills. Study substantiates that these instruments are helpful but not a prerequisite for successful outcomes in FESS. The study re-emphasises the utility of the microdebrider to young learning FESS surgeons.
机译：鼻息肉病在鼻科实践中经常遇到。对于那些保守治疗失败的患者，必须使用微清创术或常规的功能性内窥镜鼻窦手术（FESS）器械，对受影响的鼻窦进行充分的通气和引流，最终手术是必不可少的。在一家三级医院对40例鼻息肉进行了前瞻性研究。常规内窥镜手术20例，微创手术20例。该研究旨在使用Lund-Mackay评分系统比较两组的术中（失血，手术时间）和术后结果（结,、疤痕，出院，症状，复发），并对数据进行统计分析。当使用常规内窥镜器械或微清创器时，患者的手术结局在统计学上无显着差异。但是，接受微清创术FESS的患者在症状上有明显改善。微清创术辅助的息肉切除术是精确的，相对无血的手术，尽管精度取决于外科医生的解剖学知识和手术技能。研究证实这些工具是有帮助的，但不是成功获得FESS的前提。这项研究再次强调了微清创术对年轻的FESS外科医生的实用性。

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