鼻内镜在鼻骨骨折复位术中的应用

Application of Endoscopic Replacement in Nasal Bone Fracture

目的:研究鼻内镜下鼻骨复位术的可行性。方法:对33例闭合性鼻骨骨折患者,在仰卧位下行鼻内镜检查、直视下行鼻骨塌陷处的局部浸润麻醉、鼻骨复位。结果:内镜下33例均可观察到鼻骨向后移位及6例伴有鼻中隔骨折,局部麻醉效果好,直视下准确将复位器置鼻骨塌陷处,并同时处理伴发鼻中隔骨折。结论:鼻内镜下鼻骨复位术具有能对鼻骨骨折情况作全面评价、麻醉效果好、准确复位、鼻腔损伤小等优点。

Objective：To study the possibility of replacement of nasal bone fracture under nasal endoscope. Methods： Thirty-three cases suffered from nasal bone fracture were examined by nasal endoscope; and had the nasal bone subside anesthetized and were operated on replacement of nasal bone fracture in the recumbent position. Results：All 33 cases were observed nasal bone shift towards the back and among them 6 cases were accompanied by fracture of nasal septum. It had good effect of local anesthesia. We accurately placed the implement under nasal bone subside by direct view and cured the fracture of nasal septum at the same time. Conclusion：It is the advantage for replacement of nasal bone fracture under nasal endoscope to overall evaluate the state of nasal bone fracture and have good effect of anesthesia, replace accurately and make little injury in nasal cavity.