中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
58-59
,共2页
鼻中隔偏曲%腹腔镜%鼻中隔黏膜下切除术%改良鼻中隔成形术
鼻中隔偏麯%腹腔鏡%鼻中隔黏膜下切除術%改良鼻中隔成形術
비중격편곡%복강경%비중격점막하절제술%개량비중격성형술
Deviation of nasal septum%Laparoscope%Submucous resection of nasal septum%Modified nasal septum plasty
目的 比较鼻内镜鼻中隔黏膜下切除术和鼻内镜改良鼻中隔成形术治疗鼻中隔偏曲术后并发症的发生情况. 方法整群收集2010年4月—2015年1月在该院耳鼻喉科住院治疗的鼻中隔偏曲患者384例,随机分为鼻中隔黏膜下切除术组(A组) 191例和改良鼻中隔成形术组 (B组)193例,A组采用鼻内镜鼻中隔黏膜下切除术治疗,B组采用鼻内镜改良鼻中隔成形术治疗,比较两组术后并发症发生情况. 结果 A组鼻中隔摆动、鼻中隔穿孔、鼻小柱退缩、鼻梁塌陷的发生率明显高于B组(P<0.05). 10例鼻中隔穿孔患者均进行再次修补手术治疗,其中2例修补失败. 26例鼻中隔摆动患者由于无明显不适,未给予特殊治疗. 5例鼻小柱退缩、8例鼻梁塌陷患者均采用异体鼻中隔软骨修复术治疗,随访2年后无明显变形. 结论 鼻内镜下改良鼻中隔成形术具有创伤小,并发症少等优势,值得临床推广应用.
目的 比較鼻內鏡鼻中隔黏膜下切除術和鼻內鏡改良鼻中隔成形術治療鼻中隔偏麯術後併髮癥的髮生情況. 方法整群收集2010年4月—2015年1月在該院耳鼻喉科住院治療的鼻中隔偏麯患者384例,隨機分為鼻中隔黏膜下切除術組(A組) 191例和改良鼻中隔成形術組 (B組)193例,A組採用鼻內鏡鼻中隔黏膜下切除術治療,B組採用鼻內鏡改良鼻中隔成形術治療,比較兩組術後併髮癥髮生情況. 結果 A組鼻中隔襬動、鼻中隔穿孔、鼻小柱退縮、鼻樑塌陷的髮生率明顯高于B組(P<0.05). 10例鼻中隔穿孔患者均進行再次脩補手術治療,其中2例脩補失敗. 26例鼻中隔襬動患者由于無明顯不適,未給予特殊治療. 5例鼻小柱退縮、8例鼻樑塌陷患者均採用異體鼻中隔軟骨脩複術治療,隨訪2年後無明顯變形. 結論 鼻內鏡下改良鼻中隔成形術具有創傷小,併髮癥少等優勢,值得臨床推廣應用.
목적 비교비내경비중격점막하절제술화비내경개량비중격성형술치료비중격편곡술후병발증적발생정황. 방법정군수집2010년4월—2015년1월재해원이비후과주원치료적비중격편곡환자384례,수궤분위비중격점막하절제술조(A조) 191례화개량비중격성형술조 (B조)193례,A조채용비내경비중격점막하절제술치료,B조채용비내경개량비중격성형술치료,비교량조술후병발증발생정황. 결과 A조비중격파동、비중격천공、비소주퇴축、비량탑함적발생솔명현고우B조(P<0.05). 10례비중격천공환자균진행재차수보수술치료,기중2례수보실패. 26례비중격파동환자유우무명현불괄,미급여특수치료. 5례비소주퇴축、8례비량탑함환자균채용이체비중격연골수복술치료,수방2년후무명현변형. 결론 비내경하개량비중격성형술구유창상소,병발증소등우세,치득림상추엄응용.
Objective To compare the postoperative incidence of complications between endoscopic submucous resection of nasal septum and endoscopic modified nasal septum plasty for the treatment of deviation of nasal septum. Methods 384 patients with deviation of nasal septum underwent hospitalization in Department of ENT of our hospital between April 2010 and January 2015 were selected and randomly divided into submucous resection of nasal septum group (group A, 191 cases) and modified nasal sep-tum plasty group (group B, 193 cases). Patients in group A were treated by endoscopic submucous resection of nasal septum, and those in group B were treated by endoscopic modified nasal septum plasty. And the incidence of complications was compared be-tween the two groups. Results The incidences of nasal septum swing, perforation of nasal septum, nasal columella retreat, bridge collapse in group A were significantly higher than those in group B (P<0.05). 10 patients with nasal septum perforation were treat-ed by repair operation again, of them, 2 patients were failed. 26 patients with nasal septum swing were not given special treatment because of no obvious discomfort. 5 patients with nasal columella retreat and 8 patients with bridge collapse were treated by allo-graft nasal septal cartilage repair with no obvious deformation during 2-year follow-up. Conclusion Endoscopic modified nasal septum plasty has the advantages of less trauma and complications, which is worthy of clinical application and promotion.
