鼻腔气流测定在鼻中隔偏曲矫正术中的应用

Clinical use of nasal airflow measurement in septoplasty

探讨鼻腔气流测定在鼻中隔偏曲矫正术中的应用价值。方法：在鼻腔减充血状态下，采用前鼻测压法对２１例患者鼻中隔粘膜下切除术前后的双鼻腔阻力及气流进行测定并予比较。结果：发现双鼻腔气流差异率比鼻气道阻力更能反映鼻通气功能，术前双鼻腔气流差异率绝对值大于５０％的患者预后差，术后患者主观疗效评价与双鼻腔气流差异率相关。结论：双鼻腔气流差异率可作为单侧鼻中隔偏曲矫正术手术患者的选择、预后与疗效评价的一个较好指标。

Objective:To discuss the clinical use of nasal airflow measurement in septoplasty. Method:Afternasal decongestion, 21 patients's nasal airway resistance and nasal airflow were evaluated by anterior rhinomanometry before and after submucous resection of nasal septum. Result:The amount of nasal airflow asymmetrycould show nasal respiratory function better than nasal airway resistance does,the patients with absolute amountof nasal air flow asymmetry greater than 50% had bad postoperative outcome,patients' satisfication with operation was significantly correlated with the presence of post-operative symmetrical nasal airflow. Conclusion: Theamount of nasal airflow asymmetry can serve as an indicator of patient selection,outcome evaluation and prognosis in nasal septum deviation.