不同手术方法治疗鼻中隔偏曲的疗效分析

The Efficacy of Nasal Septum Deviation Treated by Different Surgical Methods

目的探讨不同手术方法治疗鼻中隔偏曲的优缺点。方法采用回顾性分析方法。传统手术252例,鼻内镜下鼻中隔成行术235例,术中只切除少量的偏曲软骨和骨,尽量保留鼻中隔软骨和正常骨质。结果传统组252例患者中,其中治愈186例,好转43例,无效23例;治愈率73%,好转率17%。鼻内镜组235例,治愈225例,好转10例,无无效者;治愈率95%,好转率5%。结论与传统手术方法相比,鼻内镜下鼻中隔成行术具有术野清晰、安全性高、操作精细、损伤小等优点,可有效避免鼻中隔黏膜下切除术手术后可能出现的鼻中隔软弱,随呼吸摆动,鼻中隔穿孔等各类并发症。特别处理高位、后段偏曲,电视鼻内镜下鼻中隔成形术优于传统方法,且可同期完成鼻窦手术,完全可以取代传统的鼻中隔粘膜下切除手术。

Objective To explore the advantages and disadvantages of different surgical treatments for nasal septum deviation.Methods A retrospective analysis was used.252 cases of traditional surgery,endoscopic septal plasty of 235 cases,during the surgery only a small amount of deviation cartilage and bone was removed,the normal septal cartilage and bone were reserved.Results In the traditional group of patients with 252 cases,186 cases were cured,43 cases had improved,23 cases were ineffective;the cure rate was 73%,...