鼻-鼻中隔整形术治疗部分外伤性歪鼻畸形

Use of septo-rhinoplasty in the treatment of traumatic deviated nose

目的 探索外伤性歪鼻畸形新的临床分类和标记方法,应用鼻-鼻中隔整形术治疗部分外伤性歪鼻畸形。方法 选择外伤性歪鼻畸形患者26例,其中C型5例、O型12例和S型9例。分别在术前测量其偏离值,经七步法手术治疗,术后进行随访。结果 17例C型、O型歪鼻畸形患者术前偏离值为(5.50±2.08)mm,术后为(2.12±1.11)mm,经配对t检验,差异有显著意义(t=6.9031,P=0.0001)。17例C型、O型歪鼻畸形临床治愈率为58.8％、有效率为88.2％。9例S型歪鼻畸形因有2个偏离值暂未进行统计。结论 新的临床分类和标记方法适用于外伤性歪鼻畸形的临床研究,鼻-鼻中隔整形术是一种治疗外伤性歪鼻畸形很有效的治疗术式。

Objective To explore the new classification and marking method for traumatic deviated nose treated by septo-rhinoplasty. Methods Twenty-six selected cases of traumatic deviated nose were analysed. There were 5 C-type cases, 12 O-type cases and 9 S-type cases. Deviated parameters were measured before and after operation. All patients were treated by seven-step method. Results Clinical data in seventeen patients including C-type and O-type were complete. There was significant difference in changes of deviated parameters before and after operation( t = 6. 9031 ,P = 0. 0001). The cure rate was 58. 8% , the effective rate was 88. 2%. Conclusions The new clinical classification and marking method for traumatic deviated nose are suitable for clinical study. Septo-rhinoplasty is effective for traumatic deviated nose.