CAJ | 학술논문

目的探讨鼻内镜下鼻中隔偏曲矫正的手术方法、术后疗效以及与慢性鼻-鼻窦炎的关系.方法327例患者行鼻内镜下鼻中隔偏曲矫正治疗,伴有慢性鼻炎、鼻窦炎、鼻息肉等患者一并接受手术治疗.结果327例患者均获得满意的矫正效果,鼻通气、嗅觉功能明显改善,鼻塞、头痛、流涕等症状消失,术后随访3个月~24个月,均未出现鼻腔粘连、鼻中隔穿孔、鼻梁塌陷等.治愈266例(81.3%),好转61例(18.7%);伴有慢性鼻炎、鼻窦炎、鼻息肉等一并同时手术后半年内无复发,窦口开放良好.结论鼻内镜下鼻中隔偏曲矫正术不仅可以矫正偏曲的鼻中隔,同时还可以完成慢性鼻炎、鼻窦炎、鼻息肉等手术治疗,无需二次手术.患者痛苦少,疗效显著,不良反应小,医疗费用低,值得临床推广应用.
목적탐토비내경하비중격편곡교정적수술방법、술후료효이급여만성비-비두염적관계.방법327례환자행비내경하비중격편곡교정치료,반유만성비염、비두염、비식육등환자일병접수수술치료.결과327례환자균획득만의적교정효과,비통기、후각공능명현개선,비새、두통、류체등증상소실,술후수방3개월~24개월,균미출현비강점련、비중격천공、비량탑함등.치유266례(81.3%),호전61례(18.7%);반유만성비염、비두염、비식육등일병동시수술후반년내무복발,두구개방량호.결론비내경하비중격편곡교정술불부가이교정편곡적비중격,동시환가이완성만성비염、비두염、비식육등수술치료,무수이차수술.환자통고소,료효현저,불량반응소,의료비용저,치득림상추엄응용.
Objective To study the operation techniques and outcomes of endoscopic septoplasty and their relation to chronic nose- nasosinusitis. Methods 327 cases of nasal septum deviation treated by nasal endoscopy were retrospectively analyzed and the patients combined with chronic rhinitis, sinusitis, nasal polyps.Results 327 cases showed satisfactory correction effect, nasal ventilation, olfactory function was improved, sinus headache and runny nose symptoms disappeared, after a follow-up of 3 months ~24 months, there were no adhesion of nasal cavity, nasal septal perforation, bridge collapse and other symptoms. 266 cases (81.3%) were cured,61 cases (18.7%)got improved. The patients combined with chronic rhinitis, sinusitis, nasal polyps, which were operated together at the same time within the half a year, no recurrence happened after operation, the sinus open well.Conclusion Nasal endoscopic submucous resection of nasal septum deviation of nasal septum could be corrected, and could also finish the chronic rhinitis, sinusitis, nasal polyp operation treatment, without the second operation, the patients had less pain, obvious curative effect, less adverse reactions, the medical cost was low, which was worthy of application.