慢性鼻窦炎鼻内镜术后应用鼻腔冲洗的临床研究进展
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南京中医药大学第二附属医院 江苏省第二中医院 耳鼻喉科

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江苏省中医药局科技项目( YB201824)


Advances in research on nasal irrigation after endoscopic sinus surgery for chronic rhinosinusitis
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Department of Otolaryngology,the Second Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Province Second Hospital of Chinese Medicine

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    摘要:

    慢性鼻窦炎是鼻窦黏膜的慢性炎症性疾病,其病因学及病理生理机制复杂。随着基础和临床研究不断深入,其诊断、治疗策略逐渐向个体化和精准化方向发展。手术治疗是慢性鼻窦炎整体治疗重要组成部分。鼻内镜手术因其功能性和微创性成为目前慢性鼻窦炎首选的外科治疗手段,但是术后鼻腔、鼻窦黏膜仍处于炎症环境中,若处理不当会影响术后恢复。临床研究证实,鼻内镜手术后行鼻腔冲洗可改善症状,促进术腔恢复。本文将从冲洗液、冲洗方法、冲洗工具等方面进行综述,为鼻腔冲洗临床应用提供参考。

    Abstract:

    Chronic rhinosinusitis (CRS) is a chronic inflammatory disorder affecting the paranasal sinuses with complex etiology and pathophysiologic mechanism. With the advance of basic and clinical research, the diagnosis and treatment of chronic rhinosinusitis are gradually developing in the direction of individualization and precision. Surgical treatment is an important part of holistie therapy for chronic rhinosinusitis. Endoscopic sinus surgery (ESS), with advantages of functionality and minimal invasiveness, is currently the preferred surgical treatment for chronic rhinosinusitis. However, the postoperative sinonasal mucosa remains in an inflammatory environment, which can affect postoperative recovery if not handled properly. Clinical studies have confirmed that postoperative nasal irrigation can improve symptoms and promote recovery of the surgical cavity. Therefore, this paper reviewed the advances in postoperative nasal irrigation including solutions, methods and devices so as to provide reference for clinical practice.

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  • 收稿日期:2022-05-09
  • 最后修改日期:2022-06-22
  • 录用日期:2022-06-24
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