-
摘要: 目的: 探讨改良鼻中隔成形术治疗鼻中隔偏曲患者的临床疗效及手术技巧。方法: 回顾性分析60例接受鼻中隔手术患者的病例特征、手术方式、术后并发症以及手术前后VAS评分及鼻阻力值。结果: 28例单纯行改良鼻中隔成形术患者术后VAS评分较术前明显降低,差异有统计学意义(P<0.01)。患者术后的偏曲侧鼻阻力与总鼻阻力较术前都有明显降低,差异有统计学意义(P<0.01或P<0.05)。结论: 改良鼻中隔成形术是治疗鼻中隔偏曲患者的安全、有效的手术方法,值得临床推广。Abstract: Objective: To investigate the clinical efficacy and operative skills of modified septum plasty in the treatment of deviated nasal septum. Method: Retrospectively analyzed the case characteristics, surgical methods, postoperative complications, VAS score and nasal resistance value of 60 patients who received nasal septum surgery. Result: The VAS score of 28 patients who underwent improved septoplasty was significantly lower than that before surgery, and the difference was statistically significant(P<0.01). The postoperative nasal resistance of the narrow side of the nasal cavity and total nasal resistance of the patients were significantly lower than those before the operation, and the difference was statistically significant(P<0.01 or P<0.05).Conclusion: Modified nasal septum plasty is a safe and effective method for the treatment of nasal septum deviation, which is worthy of clinical promotion.
-
Key words:
- nasal septum /
- nasal resistance /
- septoplasty
-
[1] 陈曦, 陈东兰, 孙建军.成年人鼻声反射与鼻阻力测量的正常参数[J].临床耳鼻咽喉头颈外科杂志, 2011, 25 (14):630-635.
[2] 韩德民, 王彤, 臧洪瑞.三线减张鼻中隔矫正手术[J].中国医学文摘耳鼻咽喉科学, 2009, 24 (2):103-105.
[3] 王彤, 臧洪瑞, 李云川, 等.三线减张法鼻中隔成形术的主观和客观疗效分析[J].中国耳鼻咽喉头颈外科, 2018, 25 (5):246-250.
[4] 熊国平, 刘芳, 严飞鹏, 等.分段式鼻中隔成形术临床疗效分析[J].临床耳鼻咽喉头颈外科杂志, 2013, 27 (6):328-330.
[5] 颜永毅."三位一体、黏骨膜下"鼻腔扩容术与混合填塞[J].山东大学耳鼻喉眼学报, 2017, 31 (3):106-110.
[6] ALAKÄRPPÄA I, KOSKENKORVA T J, KOIVUNEN P T, et al.Quality of life before and after sinonasal surgery:apopulation-based matched cohort study[J].Eur Arch Otorhinolaryngol, 2017, 274:795-802.
[7] 顾苗, 严勇兵, 尤易文, 等.鼻内镜下鼻中隔偏曲的个性化手术[J].临床耳鼻咽喉头颈外科杂志, 2016, 30 (3):242-243.
计量
- 文章访问数: 90
- PDF下载数: 69
- 施引文献: 0