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慢性鼻及鼻竇炎外科療法的新進展

Advances in Surgical Treatment for Chronic Rhinosinusitis

摘要


由於對鼻竇的解剖及生理的了解,以及放射學及光學系統的進步,鼻竇內視鏡手術已成為治療慢性鼻及鼻竇炎外科療法的主流,傳統開放性或根治性的手術方式,已漸被捨棄不用。鼻竇內視鏡可提供清析的視野、減少對鼻竇組織的傷害。近來因微型吸絞器(microdebrider)及雷射的快速發展,在鼻及鼻竇內視鏡手術的運用有了更進一步的發展,配合在電腦影像導引系統的導引下進行手術,可有效地改善手術的成功率並降低合併症的發生。

並列摘要


With the evolution of imaging technology, and the elucidated knowledge of anatomy and physiology of the paranasal sinuses, endoscopic sinus surgery has gradually replaced the traditional procedures and has become the mainstay for the treatment of chronic rhinosinusitis. Recently, microdebrider and laser has been popularly applied in the endoscopic sinus surgery to get a clear surgical field and reduce surgical morbidities. With the aid of microdebrider, laser, and navigation system, endoscopic sinus surgery could be achieved with a better surgical result and lower complication rate.

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