鼻内镜下应用二线减张法行鼻中隔矫正术40例疗效分析

Analysis the curative effect of second-line method for reducing tension under nasal endoscope on 40 cases of nasal septum surgery

目的 :探讨应用二线减张法行鼻中隔矫正术的方法和疗效。方法 :分别选取2013年5月-2014年5月在我院应用二线减张法行鼻中隔矫正术的40例患者(观察组)与行传统鼻中隔黏膜下切除术的40例患者(对照组),比较这两组患者术前和术后的鼻塞、头晕、头痛和鼻出血症状以及术后鼻中隔血肿、脓肿和穿孔发生情况。结果 :观察组患者术后的通气以及原有的头晕、头痛和鼻出血症状均获改善,且均未出现鼻中隔血肿、脓肿和穿孔;对照组患者术后虽通气等症状获得改善,但有5例患者出现鼻中隔血肿或脓肿、2例患者出现鼻中隔穿孔,且大部分患者还存在不同程度的鼻中隔摆动。结论:应用二线减张法行鼻中隔矫正术能有效保留鼻中隔软骨和黏膜、减少并发症的发生,效果良好。

Objective： To investigate the effect of second-line method for reducing tension on nasal septum surgery. Methods： Eighty patients who were operated by nasal septum surgery in our hospital from May, 2013 to May, 2014 were selected and divided into an observation group（second-line method for reducing tension） and a control group（traditional resection） with 40 cases each and the preoperative and postoperative syndromes such as nasal congestion, dizziness, headache, nasal bleeding and the incidence of postoperative hematoma, abscesses and perforation of nasal septum were compared between two groups. Results： The syndromes mentioned above were all improved and the hematoma, abscesses and perforation of nasal septum were not found after operation in the patients of the observation group. The syndromes such as ventilation and so on were also improved in the control group but there were 5 cases with hematoma or abscesses of nasal septum and 2 cases with perforation of nasal septum and the different degrees of swing septum also existed in most of the patient in this group. Conclusion： The application of second-line method for reducing tension in nasal septum surgery can effectively retains the cartilage and mucosa in nasal septum, reduce the occurrence of complications and has a good efficiency.