鼻内镜下碎片法鼻中隔成形术的疗效分析

Clinical analysis of fragment type septoplasty by nasal endoscope

目的探讨鼻内镜下碎片法鼻中隔成形术治疗鼻中隔偏曲患者的临床疗效及手术技巧.方法回顾性分析50例施行碎片法鼻中隔成形术的患者的病例特点、手术方法和术后并发症情况,并观察手术前和手术后半年的视觉模拟评分(VAS)及鼻阻力值变化.结果患者术后半年VAS评分、偏曲侧及总的鼻阻力均明显减少,差异有统计学意义(P<0.05);而宽敞侧鼻阻力减少不明显,差异无统计学意义(P>0.05).结论鼻内镜下碎片法鼻中隔成形术是治疗鼻中隔偏曲患者安全、有效的手术方法,值得临床推广.

Objective To investigate the clinical efficacy and surgical technique of fragment type septoplasty by nasal endoscope in treatment of patients with Nasal septum deviation. Methods We retrospectively analyzed the patients' characteristics, surgical methods, postoperative complications of 50 patients who received fragment type septoplasty. And the changes of VAS scores and nasal resistance value were observed before operation and six months after. Results Not only the VAS scores but also the nasal resistance values of total and the narrow side of the nasal cavity were significantly lower than that before operation, and the difference was statistically significant (P < 0.05). But the reduction of the spacious side nose resistance is not obvious, and the difference is not significant (P > 0.05). Conclusion The fragment type septoplasty by nasal endoscope is a safe and effective method for the treatment of nasal septum deviation, and worthy of clinical application.