82例鼻骨骨折诊疗体会

Diagnosis and treatment of nasal bone fracture in 82 cases

目的:探讨鼻骨骨折的简便有效诊治方法。方法:对2006年12月～2007年11月在我科门诊收治的82例鼻骨骨折患者行回顾性分析。结果:(1)普通X线或胸部X线片(CR)对鼻骨骨折诊断的误诊率为7.32%,CT能明显提高鼻骨骨折的诊断率,几乎达100%。(2)大多数鼻骨骨折患者可在表麻或局麻下后行闭合性鼻骨骨折复位术。结论:(1)在条件许可下鼻骨骨折最好行CT检查。(2)鼻内镜下行鼻骨骨折复位术具有有效、经济、准确、微创的特点,效果良好。

Objective ：To study the effective and convenient method for the diagnosis and treatment of nasal bone fracture.Methods： 82 patients with nasal bone fracture from December 2006 to November 2006 treated in our out-patient department were analyzed retro- spectively. Results： （1）The misdiagnosis rate of common X-ray or CR in the diagnosis of nasal bone fracture was 7.32% ,while CT could obviously improve the diagnosis rate of nasal bone fracture,almost reach to 100%. （2）Majority of nasal bone fracture patients could be performed with replacement of nasal bone fracture under surface or local anesthesia. Conclusion： （1）CT examination must be used in nasal bone fracture if the condition of hospital permitted. （2）Nasal endoscopic replacement of nasal bone fracture has effective,economic, accurate and minimally invasive characteristics,with a good effect.