鼻腔成形术改善结构性鼻通气障碍的临床评估

袁晓培; 郭荃容; 刘燕; 耿聪俐; 王旻; 邢志敏

doi:10.13201/j.issn.1001-1781.2016.18.002

鼻腔成形术改善结构性鼻通气障碍的临床评估

- 北京大学人民医院耳鼻咽喉科(北京, 100044)
基金项目:
北京市科技计划首都临床特色应用研究(No:Z131107002213056)

详细信息

通讯作者: 邢志敏,E-mail:xing_zhimin27@163.com

中图分类号: R765.2

收稿日期: 2016-05-11

Clinical evaluation about rhinoplasty of nasal cavity improving nasal obstruction in patients with structural variation

- Department of Otolaryngology, People's Hospital of Peking University, Beijing, 100044, China

More Information

Corresponding author: XING Zhimin, E-mail: xing_zhimin27@163.com

Received Date: 11 May 2016

摘要

摘要: 目的:探讨鼻腔成形术改善结构性鼻通气障碍的特点及远期疗效。方法:纳入分析的结构性鼻炎患者106例,按照视觉模拟量表(VAS)鼻塞评分分为2个组,组1(56例)VAS评分>5,组2(48例)VAS评分<5;分别进行鼻声反射和鼻阻力测量。根据两侧鼻腔最小截面积(MCA)、距离前鼻孔距离(MD)、距离前鼻孔5 cm、2~<5 cm、5~7 cm的鼻腔容积(V5、V2~5、V5~7),计算两侧的比值;根据两侧鼻腔阻力计算鼻腔阻力差异比(Rlr)。2组患者均行鼻腔成形术,术后1年再次进行上述主客观评估与测量。对各组手术前后VAS评分和比值分别进行统计学检验。结果:2组患者症状改善满意。术前2组VAS评分和比值分析除MD和V5~7外,其余均差异有统计学意义(P<0.05);组1手术前后VAS评分和比值比较均差异有统计学意义(P<0.05),组2差异无统计学意义(P>0.05)。结论:结构性鼻通气障碍严重程度与两侧鼻腔结构差异程度有一定关联;鼻腔成形术远期疗效肯定,具有一定的临床应用价值。
- 鼻塞 /
- 结构性鼻炎 /
- 外科手术 /
- 鼻腔
Abstract: Objective:To explore the long-term effect of rhinoplasty of nasal cavity improving nasal obstruction in patients with structural variation.Method:One hundred and six patients with structural rhinitis included this study whose assessment of nasal obstruction were achieved by visual analogue scale(VAS), and were divided into two groups:group1(n=56,VAS score>5), group 2(n=48, VAS score<5). They were measured by rhinomanometry and acoustic rhinometry recording the minimum cross-sectional area of nasal cavity(MCA), the distances from the nostrils(MD)and the nasal volume of 5cm,2-5 cm,5-7 cm from the nostril(V5,V2-5,V5-7),then we calculated the ratio of the parameters of the two sides of the nasal cavity respectively,recorded nasal resistance and calculated Rlr. All patients were performed endoscopic rhinoplasty of nasal cavity and re-evaluated one-year later. Two groups were compared with statistical test.Result:The symptoms of two-group patients improved satisfactorily after surgery. VAS scores and ratio of pre-operation of two groups had statistical differences except MD,V5-7, and group1 had more structural abnormalities compared with group2.VAS scores and ratio of pre- and post-operationof group1 had statistically difference.Conclusion:Severity of nasal obstruction is related to structural variation of nasal cavity and the nasal plasty has certain clinical application value as its good long-term curative effects.the purpose of surgery is to restore symmetry of nasal cavity.
- nasal obstruction /
- structural rhinitis /
- surgery /
- nasal cavity studies

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