鼻内镜下鼻中隔偏曲矫正术37例分析

Clinical Analysis of 37 Patients Undergoing Endoscopic Nasal Septal Reconstruction

目的:探讨鼻内镜下鼻中隔偏曲矫正术的疗效。方法:2005年4月至2010年8月来我院收治鼻中隔偏曲患者68例,其中传统鼻中隔粘膜下切除术31例,鼻内镜下鼻中隔矫正术37例。观察两组的手术时间、术中出血量情况,两组患者在术后疼痛、粘骨膜完整性,、偏曲矫正满意度、术后并发症情况。结果:(1)经统计学分析,实验组术中出血量明显少于对照组,差别有统计学意义,P<0.05;(2)实验组在术中疼痛,术后并发症发生率明显低于对照组,P<0.05;实验组在粘骨膜完整性及偏曲矫正满意度方面明显高于对照组,P<0.05,差别有统计学意义。结论:鼻内镜下鼻中隔偏曲矫正术较传统手术术野清晰,手术操作过程直观,减少了手术次数,降低了术后并发症,提高了偏曲矫正满意度,值得在临床上推广和应用。

Objective：To study the clinical efficacy of traditional and endoscopic-assisted correction of the nasal septum deviation.Methods：68 cases with nasal septum deviation were perated on from April 2005 to August 2010.31 cases accepted traditional operation and 37 cases accepted endoscopic-assisted correction of the nasal septum deviation.To observe the operation time,blood loss,postoperative pain,mucoperiosteal integrity,septum satisfaction,postoperative complications of two groups.Results：（1）In experimental group the quantity of blooding was less than the control group（P0.05）.（2）In experimental group the pain during surgery the incidence of postoperative complications was less than the control group and the mucoperiosteal integrity the septum satisfaction was higher than the control group（P0.05）.Conclusion：Endoscopic septoplasty surgery had a clear surgical field,reduced the number of operations and postoperative complications and improved the satisfaction of the septum compared with traditional surgery.It is worthy of promotion and application in clinical.