下鼻甲部分截除术改变头位经验介绍

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下鼻甲部分截除术患者一般均采用坐式或半坐式的体位、头部固定正中。此时下甲前缘与水平线成垂直角度。如图中1,术者剪截下鼻甲时感到很不得力。非常扭手剪口咬合无力。因此结果防碍切除范围影响疗效。为了改善此种缺点,最近两年术时改变头位医患甚感满意。方法:术时患者头部向将要截除下甲同侧偏斜使其耳垂触到肩上为宜,下鼻甲与水平线变成45°角或小于45°角图中2、3。术时下甲剪刀不作任何方向转动进入鼻腔,随意剪截下甲肥厚增生的部分粘膜,改变头位后感到非常得力顺手,缩短术时减少病人痛苦。当一侧术后即可恢复头位,免得倾斜时间过久而感到颈部不适。今将点滴经验作一初步介绍,仍有很多缺点希同道指正。 Part of the inferior turbinate surgery patients are generally used sitting or semi-seated position, the head fixed in the middle. At this point under the front edge and the horizontal line into a vertical angle. As shown in Figure 1, the surgeon cut the inferior turbinate felt very ineffective. Very twisted hand incision bite weakness. Therefore, the results hinder the removal of the scope of the curative effect. In order to ameliorate such shortcomings, it has been very satisfying to change the head and shoulders doctors in the last two years. Methods: During surgery, the head of the patient is about to cut off the ipsilateral inferior side of the nail so that its earlobe touches the shoulder is appropriate, the inferior turbinate and the horizontal line into a 45 ° angle or less than 45 ° angle map 2,3. Under normal operation scissors do not rotate in any direction into the nasal cavity, free cut under hypertrophic hypertrophic hypertrophic part of the mucosa, change the head position was very effective and easy to reduce the time to reduce the patient pain. When the side of the head can be restored after the first bit, so lean too long and feel neck discomfort. This will be a bit of experience for a preliminary introduction, there are still many shortcomings Greek comrades correct me.
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