134例鼻内镜下鼻中隔棘/嵴/高位偏曲成形术疗效观察

Observation of the therapeutic efficacy of nasal septoplasty of nasal septal spur, ridge and/or elevated deviation in 134 cases under intranasal endoscopy

目的 探讨鼻内镜下鼻中隔棘 嵴 高位偏曲成形术的临床疗效。方法 对我院耳鼻咽喉 头颈外科 1998年 1月至 2 0 0 3年 1月所收治 13 4例鼻中隔棘 嵴 高位偏曲患者 ,随机对照鼻内镜下行鼻中隔成形术和鼻中隔粘软骨膜下部份切除传统手术纠正偏曲两种手术方法的治疗效果 ,分析手术成败的原因。结果 内镜手术组疗效显著优于对照组 (P <0 0 5 )。结论 鼻内镜下鼻中隔棘 嵴 高位偏曲成形术 ,疗效显著优于传统鼻中隔手术 ,手术成功率高 ,并且操作简单、安全 ,年龄可以放宽到 16岁 。

Objective To observe the therapeutic efficacy of different operative methods for nasal septal spur/ridge elevated deviation. Methods A total of 134 patients with nasal septal spur/ridge elevated deviation were randomly divided into endoscopic surgery group and control group. Patients in the endoscopic group were treated with nasal septoplasty under intranasal endoscopy, while those in the control group were treated with traditional submucous correction of nasal septum. Therapeutic effects and causes of operative success were analyzed. Results The therapeutic efficacy in endoscopic surgery group was significantly superior to that in the control group ( P <0.05). Conclusion The therapeutic efficacy of nasal septoplasty under intranasal endoscopy is superior to that of traditional nasal septal reconstruction. The former has high rate of success, and the whole procedure is simple and safe, and can be applied to patients of sixteen year old.