鼻内镜下复杂鼻中隔偏曲矫正术52例报告

Endoscopic surgery of complicated deflection of nasal septum in 52 cases

目的:探讨鼻内镜下复杂鼻中隔偏曲矫正术的疗效及手术体会。方法:对52例高位后段、巨大嵴突和棘突、多种弯曲形态并存、鼻中隔骨折脱位及需二次矫正偏曲,经鼻内镜检查及鼻窦CT扫描(冠状位)确诊的患者采用经鼻内镜下偏曲矫正术,随访6个月以上。结果:52例患者鼻中隔矫正效果满意,鼻腔通气良好,无鼻中隔穿孔、鼻腔粘连及鼻梁塌陷等症状。结论:在鼻内镜下行复杂鼻中隔偏曲矫正术,照明度好,视野清晰宽广,精细准确,保持了鼻中隔稳定性,安全、微创,符合鼻生理功能的需要及微创手术的要求。

Objective：To discuss the clinic effect and surgical experience of complicated deflection of nasal sep rum with endoscopic surgery. Method; Fifty-two patients with complicated deflection of nasal septum werc diag-nosed by nasal endoscopy and CT scan,such as posterior segment deflection, huge processus spinosus, multi-normal curvature, nasal septum fracture dislocation and second operation for deflection of nasal septum. All case were followed-up for six months,Result： All case had satisfactory surgical results. All had an unobstructed nasal cavity and no perforation of nasal septum, nasal synechia and bridge of nose collapsed. Conclusion： Endoscopic sur gery in complicated deflection of nasal septum have the good advantages of vision and accuracy. So the endoscopic surgery is a minimally invasive surgery and benefit to the nasal physiological function.