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目的 :研究鼻内窥镜在鼻窦深部异物取出术中的应用。方法 :应用鼻内窥镜行鼻窦深部异物取出术 1 1例 ,均为男性 ,年龄 1 2～ 40岁 ,异物存留时间 1d～ 1 1月。结果 :汽枪子弹 9例 ,约 0 .8cm× 0 .6cm× 0 .6cm大小 ,分别位于上颌窦、筛窦和蝶窦 ;铁屑 1例 ,形状不规则 ;镀银玻璃 1例 ,约 4 .0cm× 3 .0cm× 0 .3cm大小 ,横跨鼻窦与眼眶。结论 :术前影像学准确定位 ,必要时术中辅以X线电视屏幕监视下定位 ,均经鼻内窥镜完整取出 ,手术安全 ,损伤小 ,视野清晰 ,无合并症。
Objective: To study the application of nasal endoscopy in the removal of deep sinus foreign body. Methods: Nasal endoscopic sinus deep sinus removal 11 cases were male, aged 12 to 40 years, foreign body retention time 1d ~ 1 January. Results: 9 cases of steam-gun bullets, about 0 .8cm × 0 .6cm × 0 .6cm size, located in the maxillary sinus, ethmoid sinus and sphenoid sinus; iron filings in 1 case, irregular shape; silver-plated glass in 1 case, about 4 .0cm × 3 .0cm × 0 .3cm size, across the sinus and orbit. Conclusion: The preoperative imaging is accurately located. If necessary, the operation is assisted by the X - ray TV screen to monitor the operation. All the patients are completely removed by the endoscope. The operation is safe, less invasive and the visual field is clear with no complications.