摘要
目的:探讨分段式鼻中隔成形术的可行性及疗效。方法:选取60例鼻中隔偏曲患者,根据偏曲部位的不同,采取分段式鼻中隔成形术,Ⅰ型适用于偏曲位于软骨部,Ⅱ型适用于偏曲位于筛骨垂直板,Ⅲ型适用于偏曲位于上颌骨鼻突或嵴突者,Ⅳ型适用于骨部及软骨部均存在偏曲者。结果:所有患者均顺利完成手术,手术时间平均约30min,术中出血平均约5ml,术后随访半年后评定疗效。60例患者术后鼻中隔偏曲均校正满意,鼻通气良好,无鼻中隔血肿、脓肿及鼻中隔穿孔、鞍鼻等发生。治愈56例(93.33%);显效4例(6.66%);总有效率为100%。结论:分段式鼻中隔成形术是一种更加微创的矫形手术,其在临床上尤其是青少年鼻中隔偏曲患者中有着广阔的应用前景,值得临床推广。
Objective： To explore the feasibility and effection of segment type plastic operation of nasal sep- rum. Method：Sixty patients were selected with deviation of nasal septum and divided into four types of the plastic operation of nasal septum. The first was suitable for deviation of nasal septal cartilage, the second was suitable for deviation of perpendicular of ethmoid bone, the third was suitable for deviation of nasal process of maxilla, the fourth was suitable for deviation of nasal septal cartilage and bony septum of nose. Result：All the operations were smoothly finished, the operation time was averagely thirty minutes, the amoumt of bleeding in operation was five milliliters. After half year observation,the nasal ventilation Sunction of all patients was good,and the effeetion of correction was satisfied. There was no hematoma of nasal septum, nasal septal abscess , perforation of nasal sep- tum and saddle nose. The cure rate is ninety-three point three three, the apparent efficiency is six point six six,thetotal efficiency is one hundred percent. Conclusion.. The segment type plastic operation of nasal septum is a more minimally invasive orthopaedic operation, it has the more broad application prospect in the teenagers with deviation of nasal septum. So it is worthy of being popularized.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2013年第6期328-330,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鼻内镜
鼻中隔偏曲
鼻中隔成形术
nasal endoscope ldeviation of nasal septuml plastic operation of nasal septum
