中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
27期
44-47
,共4页
改良切口%两线减张%鼻中隔偏曲%鼻中隔成形术
改良切口%兩線減張%鼻中隔偏麯%鼻中隔成形術
개량절구%량선감장%비중격편곡%비중격성형술
Modified incision%Two lines decreasing tension%Deviation of nasal septum%Septoplasty
目的：探讨改良切口两线减张鼻中隔成形术在治疗鼻中隔偏曲的效果。方法回顾分析2011年1月~2013年6月广西壮族自治区河池市人民医院(以下简称“我院”)耳鼻喉科收治的行改良切口两线减张鼻中隔成形术的中隔偏曲患者63例(改良组)及2009年1月~2011年12月我院行鼻中隔黏膜下切除术的鼻中隔偏曲患者63例(对照组)的临床资料。比较两组患者的手术时间、术中出血量、术后疼痛、鼻中隔黏膜损伤情况及治疗效果等。结果改良组治愈率(74.60%)、有效率(95.24%)均高于对照组(47.62%、84.13%)，差异均有统计学意义(P<0.05或P<0.01)；改良组患者手术时间[(58.0±7.8)min]、术中出血量[(50.0±6.7)mL]、术后疼痛(7.94%)、鼻中隔黏膜损伤(11.11%)情况明显优于对照组[(70.0±7.7)min、(61.0±8.2)mL、20.63%、26.98%]，差异均有统计学意义(P<0.05或P<0.01)。结论改良切口两线减张鼻中隔成形术，切口张力低、术“清晰、手术时间短、出血量少、并发症少、治疗效果佳，是一种可以选择的手术方案。
目的：探討改良切口兩線減張鼻中隔成形術在治療鼻中隔偏麯的效果。方法迴顧分析2011年1月~2013年6月廣西壯族自治區河池市人民醫院(以下簡稱“我院”)耳鼻喉科收治的行改良切口兩線減張鼻中隔成形術的中隔偏麯患者63例(改良組)及2009年1月~2011年12月我院行鼻中隔黏膜下切除術的鼻中隔偏麯患者63例(對照組)的臨床資料。比較兩組患者的手術時間、術中齣血量、術後疼痛、鼻中隔黏膜損傷情況及治療效果等。結果改良組治愈率(74.60%)、有效率(95.24%)均高于對照組(47.62%、84.13%)，差異均有統計學意義(P<0.05或P<0.01)；改良組患者手術時間[(58.0±7.8)min]、術中齣血量[(50.0±6.7)mL]、術後疼痛(7.94%)、鼻中隔黏膜損傷(11.11%)情況明顯優于對照組[(70.0±7.7)min、(61.0±8.2)mL、20.63%、26.98%]，差異均有統計學意義(P<0.05或P<0.01)。結論改良切口兩線減張鼻中隔成形術，切口張力低、術“清晰、手術時間短、齣血量少、併髮癥少、治療效果佳，是一種可以選擇的手術方案。
목적：탐토개량절구량선감장비중격성형술재치료비중격편곡적효과。방법회고분석2011년1월~2013년6월엄서장족자치구하지시인민의원(이하간칭“아원”)이비후과수치적행개량절구량선감장비중격성형술적중격편곡환자63례(개량조)급2009년1월~2011년12월아원행비중격점막하절제술적비중격편곡환자63례(대조조)적림상자료。비교량조환자적수술시간、술중출혈량、술후동통、비중격점막손상정황급치료효과등。결과개량조치유솔(74.60%)、유효솔(95.24%)균고우대조조(47.62%、84.13%)，차이균유통계학의의(P<0.05혹P<0.01)；개량조환자수술시간[(58.0±7.8)min]、술중출혈량[(50.0±6.7)mL]、술후동통(7.94%)、비중격점막손상(11.11%)정황명현우우대조조[(70.0±7.7)min、(61.0±8.2)mL、20.63%、26.98%]，차이균유통계학의의(P<0.05혹P<0.01)。결론개량절구량선감장비중격성형술，절구장력저、술“청석、수술시간단、출혈량소、병발증소、치료효과가，시일충가이선택적수술방안。
Objective To explore the therapeutic effect of modified incision septoplasty with two lines decreasing ten-sion for deviation of nasal septum. Methods Clinical data of 63 cases of patients with nasal septum from January 2011 to June 2013 were treated by two lines decreasing tension in the Department of Otolaryngological, the People's Hospital of Hechi City in Guangxi Zhuang Autonomous Region ("our hospital"for short) (improved group) and 63 patients with deviation of nasal septum from January 2009 to December 2011 were treated by submuscous resection of nasal septum in our hospital (control group) were retrospectively analyzed. The operation time, intraoperative blood loss, postoperative pain, nasal septum mucosa injury and therapeutic effect of two groups were compared. Results The cure rate and effec-tive rate of the improved group (74.60%, 95.24%) were significantly better than those of the control group (47.62%, 84.13%), the differences were statistically significant (P< 0.05 or P< 0.01). The operation time, intraoperative blood loss, postoperative pain, nasal septum mucosa injury of the improved group [(58.0±7.8) min, (50.0±6.7) mL, 7.94%, 11.11%] were better than those of the control group [(70.0±7.7) min, (61.0±8.2) mL, 20.63%, 26.98%], the differences were statistically significant (P<0.05 or P<0.01). Conclusion Modified incision septoplasty with two lines decreasing tension is a kind of operative plan can be choose, it has advantages in low incision tension, clear operative field, short operation time, less bleeding, low complication rate and satisfactory effect.
