外伤性鼻中隔骨折的诊治体会

Clinical Experience of Diagnosis and Therapy for Traumatic Septal Fracture

目的探讨外伤性鼻中隔骨折的诊治方法。方法对外伤性鼻骨骨折病人636例均予以行鼻骨冠状位CT扫描及鼻内镜检查,对确诊为外伤性鼻中隔骨折的病人382例,在鼻内镜下行鼻中隔骨折复位术及鼻中隔矫正术。结果636例外伤性鼻骨骨折的患者确诊为外伤性鼻中隔骨折的有382例,检出率达60.06%。治疗效果:治愈361例,好转18例。结论鼻骨冠状位CT扫描是确诊外伤性鼻中隔骨折的主要手段,在鼻内镜下行鼻中隔骨折复位术及鼻中隔矫正术疗效确切。

Objective To explore the methods on the diagnosis and treatment of traumatic septal fracture.Methods Total 636 patients suffered from traumatic nasal bone fracture were examined with coronal spiral CT and nasal endoscope.382 patients who were diagnosed traumatic septal fracture were treated by septoplasty and replacement of nasal bone fracture under nasal endoscope.Results Among them,382 cases who were diagnosed traumatic septal fracture from 636 patients who suffered from traumatic nasal bone were followed up for a period,with 361 cured,and 18 improved.Conclusion The main method of diagnosis of septal fracture is the CT scanning frame in the coronal position.Nasal endoscopic replacement of nasal bone fracture and septoplasty have a good effect.