CAJ | 학술논문

目的：研究鼻外伤对鼻腔生理功能的影响,以期对鼻外伤的诊治产生新的社会及经济价值。方法随机选取自2013年1月—2014年6月该院因鼻外伤而在门急诊及住院病人100例,通过对其解剖学形态、病理组织学、嗅觉功能测定、鼻腔通气试验等相关鼻腔生理功能检查,研究其影响生理功能的基本原因。结果100例患者中,平均年龄(42.52±8.75)岁。鼻内镜观察鼻腔呼吸区和嗅区粘膜形态见100例患者中有72例出现鼻中隔脱位或偏曲。有80例患者出现粘膜撕裂或鼻腔血肿形成。取下鼻甲活检标本,100例患者中有82例出现组织表面纤毛部分断裂,黏膜及黏膜下层出现撕裂,黏膜下见炎症细胞浸润,腺体结构欠规则。鼻外伤患者治疗前嗅觉功能明显较术后恢复6个月患者差。术前患者鼻通气阻力值(8.32±1.21),术后6个月鼻通气阻力值(1.49±0.85),两者间差异有统计学意义(P<0.05)。术前患者MTR (6.98±0.98),术后MTR (4.05±0.52),两者间差异有统计学意义(P<0.05)。结论鼻外伤对患者鼻腔生理功能存在一定影响,需给予积极治疗。
목적：연구비외상대비강생리공능적영향,이기대비외상적진치산생신적사회급경제개치。방법수궤선취자2013년1월—2014년6월해원인비외상이재문급진급주원병인100례,통과대기해부학형태、병리조직학、후각공능측정、비강통기시험등상관비강생리공능검사,연구기영향생리공능적기본원인。결과100례환자중,평균년령(42.52±8.75)세。비내경관찰비강호흡구화후구점막형태견100례환자중유72례출현비중격탈위혹편곡。유80례환자출현점막시렬혹비강혈종형성。취하비갑활검표본,100례환자중유82례출현조직표면섬모부분단렬,점막급점막하층출현시렬,점막하견염증세포침윤,선체결구흠규칙。비외상환자치료전후각공능명현교술후회복6개월환자차。술전환자비통기조력치(8.32±1.21),술후6개월비통기조력치(1.49±0.85),량자간차이유통계학의의(P<0.05)。술전환자MTR (6.98±0.98),술후MTR (4.05±0.52),량자간차이유통계학의의(P<0.05)。결론비외상대환자비강생리공능존재일정영향,수급여적겁치료。
Objective To study on the effects of nasal trauma to physiological function of nasal cavity, in order to generate new so-cial and economic value to the diagnosis and treatment of nasal trauma. Methods 100 cases of outpatients and inpatients, because of nasal trauma accepted by our hospital from January 2013 to June 2014, were collected. The basic reason on the influence of physiological function was studied, through related nasal physiological function tests of its anatomic morphology, histopathology, ol-factory function test, nasal ventilation test, etc. Results 100 patients with average age of (42.52 ± 8.75) years old. Endoscopic ob-servation of nasal breathing zone and the olfactory mucosa morphology, of 100 patients, 72 patients had nasal septum dislocation or deviation, 80 cases with mucosal torn or nasal hematoma formation. Turbinate removed and sample biopsy were made, of 100 pa-tients, 82 cases’ tissue surface cilia appeared partially broken, mucosa and submucosa torn, submucosal inflammatory cell infiltra-tion seen, and irregular glandular structures. Olfactory function for Nasal trauma patients before treatment was significantly worse compared with that for patients in postoperative recovery of 6 months. Patients’ preoperative nasal airway resistance value was (8.32±1.21), and the value of 6 months later was (1.49±0.85), which means difference between the two was statistically significant (P<0.05). Preoperative MTR was (6.98±0.98), and postoperative MTR (4.05±0.52), which shows difference between the two was sta-tistically significant(P<0.05). Conclusion Nasal trauma had certain impact to physiological function of nasal cavity, active treat-ment should be given.