鼻内窥镜下鼻中隔成形术临床评价

Clinical Evaluation of Septoplasty Under Nasal Endoscope

【目的】评价鼻内窥镜下鼻中隔偏曲成形术的临床应用价值。【方法】对218例鼻中隔偏曲患者,随机分为传统鼻中隔黏膜下切除术和鼻内窥镜下鼻中隔成形术二组,对其疗效进行对比分析。【结果】传统手术组和内窥镜手术组在手术时间、并发症方面比较差异均无显著性(P>0.05);而内窥镜组较传统手术组出血量少、治疗效果好,差异有显著性(P<0.05)。【结论】鼻内窥镜下鼻中隔成形术具有视野清晰、微创、出血量少、安全、疗效好等优点,具有较好的临床应用价值。

[Objective] To evaluate the clinical value of septoplasty applied in nasal septum deviation under nasal endoscope. [Methods]In a random-controlled study, 218 patients with nasal septum deviation from August 1999 to December 2007 were analyzed. The patients were operated randomly by traditional septoplasty （group A） or nasal endoscopic septoplasty （group B）. [Results] The difference of the time of operation and the rate of complication between the two groups was not statistically significant（ P 〉0.05）. But group B had less hemorrhage and better therapeutic effect than group A（ P 〈0.05）. [Conclusion]There are some advantages of septoplasty under nasal endoscope, such as clear visual field, minimally invasion, litter hemorrhage, safety and the good therapeutic effect. It is a good method for popularization.