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为研究内窥镜鼻窦手术（ＥＳＳ）中保留或切除中鼻甲对鼻腔、鼻窦形态的影响，探讨手术中对中鼻甲的处理方式和保留中鼻甲的意义。本文随访ＥＳＳ手术后２年以上的病例３４０例，按切除中鼻甲与否分成两组，分层抽样后两组各取前４２例为研究对象，鼻内窥镜下观察保留或切除中鼻甲以后中隔鼻甲形成、筛窦术腔闭塞及各窦口开放情况。结果中鼻甲保留组４２例患者中，１３．２％（１０／７６）形成中隔鼻甲，１７．１％（１３／７６）出现筛窦术腔闭塞；中鼻甲切除组中，６４．６％（４２／６５）形成中隔鼻甲，５８．５％（３８／６５）出现筛窦术腔闭塞。两组间中隔鼻甲形成率和筛窦术腔闭塞率均有显著性差异（Ｐ＜０．０１，ｘ２检验）。因此手术中不宜切除中鼻甲，但对有病变的中鼻甲应适当处理。
In order to study the effect of preserving or excising middle turbinate on nasal and sinus morphology in endoscopic sinus surgery (ESS), the treatment of middle turbinate and the significance of preserving middle turbinate were discussed. This article was followed up for more than 2 years after ESS surgery in 340 cases, according to the removal of middle turbinate or not divided into two groups, stratified sampling after taking the first two groups of 42 patients for the study, observation or endoscopic nasal endoscopic removal or removal of the middle turbinate The formation of septum turbinates, ethmoid sinus cavity occlusion and the opening of the ostium. Results In the 42 cases of middle turbinate retention group, 13.2% (10/76) formed middle septum and 17.1% (13/76) showed occlusion of ethmoid sinus cavity. In middle turbinate resection group, 64.6% (42/65) to form the septal turbinate, 58.5% (38/65) occlusion of the ethmoid sinus cavity. There was a significant difference in the formation rate of middle turbinate and occlusion rate of ethmoid sinus cavity in both groups (P <0.01, x2 test). Therefore, surgery should not remove the middle turbinate, but the lesions of the middle turbinate should be properly handled.