经鼻内窥镜下鼻中隔穿孔修补术治疗鼻中隔穿孔的临床效果分析

Clinical Analysis of Nasal Septal Perforation Repair under Nasal Endoscope for Nasal Septal Perforation

目的:分析探讨经鼻内窥镜下鼻中隔穿孔修补术对鼻中隔穿孔患者的临床疗效。方法:选取我院2015年5月至2017年5月收治的60例鼻中隔穿孔患者进行研究,依据随机数字表法随机均分为对照组(n=30)和观察组(n=30)。对照组30例患者传统修复手术治疗,观察组30例患者采用鼻内窥镜下鼻中隔黏膜瓣修补术治疗,比较两组患者的临床治疗效果。结果:观察组患者修复成功率为93.33%(28/30),对照组患者修复成功率为73.33%(22/30),组间相比具有显著性差异(χ2=4.320,P<0.05);对照组患者手术耗时、术中出血量、术后黏膜修复时间及损伤黏膜范围分别为(46.18±8.42)min、(12.69±2.54)m L、(29.35±4.72)d、(20.38±5.26)mm2,观察组患者手术耗时、术中出血量、术后黏膜修复时间及损伤黏膜范围分别为(25.46±5.09)min、(3.87±1.17)m L、(18.68±3.54)d、(10.64±4.02)mm2,两组患者上述指标相比组间差异均具有统计学意义(t=11.535,17.275,9.905,8.058;P<0.05);观察组患者术后并发症发生率显著低于对照组,且观察组患者I期愈合率显著高于对照组,组间差异具有统计学意义(P<0.05)。结论:鼻中隔穿孔患者采用经鼻内窥镜下鼻中隔穿孔修补术治疗可以有效的缩短手术时间,减少术中出血量,患者术后愈合效果良好,并发症发生率较低,安全性较高,具有较高的临床推广价值。

Objective： To analyze the clinical effect of nasal endoscopic perforation repair on patients with nasal septum perforation. Methods： 60 patients with nasal septum perforation admitted to our hospital from May 2015 to May 2017 were randomly divided into control group（ n = 30） and observation group（ n =30） according to the random number table method. Thirty patients in the control group were treated by conventional repair surgery. Thirty patients in the observation group were treated with endoscopic nasal septal mucosal flap repair. The clinical effects of the two groups were compared. Results： The success rate of repair in the observation group was 93.33%（ 28/30）,while that in the control group was 73.33%（ 22/30）,with significant difference（ χ2= 4.320,P〈0.05） The patients＇ operation time,intraoperative blood loss,postoperative mucosal repair time and mucosal injury range were（ 46.18 ± 8.42） min,[（ 12.69 ± 2.54） m L],[（ 29.35 ± 4.72） 20.38 ± 5.26） mm2]. The patients in the observation group had a significant reduction of operation time,intraoperative blood loss,postoperative mucosal repair time and the range of mucosa damage [（ 25.46 ± 5.09）min],[（ 3.87 ± 1.17） m L]18.68 ± 3.54） d〗and [（ 10.64 ± 4.02） mm2]respectively. There were significant differences in the above indexes between the two groups（ t = 11.535,17. 275,9. 905,8. 058; P〈0. 05）The incidence of postoperative complications was significantly lower than that of the control group,and the Iphase healing rate in the observation group was significantly higher than that in the control group. The difference between the two groups was statistically significant（ P〈0.05）. Conclusion： Nasal septal perforation in patients undergoing endoscopic nasal septal perforation repair surgery can effectively shorten the operation time and reduce intraoperative bleeding,the patient＇s healing effect is good,the incidence of complications is lower,higher safety,with higher The clinical promotion value.