【打印本页】 【下载PDF全文】 【HTML】 查看/发表评论下载PDF阅读器关闭

←前一篇|后一篇→

过刊浏览    高级检索

本文已被:浏览 1521次   下载 1426 本文二维码信息
码上扫一扫!
"鼻腔矫正术"治疗鼻中隔偏曲的疗效评价
叶青,杨毓梅,廖建春,王海青,孙爱华
0
(第二军医大学长征医院耳鼻咽喉科,上海,200003)
摘要:
2003~2004年83例(166侧)鼻中隔偏曲男性患者在我院接受手术治疗,其中接受鼻中隔黏膜下切除术者38例,接受鼻中隔黏膜下切除加单或双侧下鼻甲部分切除术者45例.术前及术后6个月应用Eccovision型声反射鼻测量计对以上患者进行测试,评价手术疗效.结果发现鼻中隔黏膜下切除加做单或双侧下鼻甲部分切除术患者鼻腔总容积明显大于鼻中隔黏膜下切除术患者,而单纯行鼻中隔黏膜下切除术患者的疗效欠佳且不稳定.因此,笔者推荐对于合并慢性肥厚性鼻炎的鼻中隔偏曲患者应施行鼻中隔黏膜下切除加做单或双侧下鼻甲部分切除术,为简化命名并规范此类手术,建议将此手术命名为"鼻腔矫正术",并建议进一步建立和完善此手术的手术适应证和手术原则.
关键词:  鼻中隔偏曲、鼻腔矫正术、治疗结果
DOI:10.3724/SP.J.1008.2006.00905
投稿时间:2005-12-21修订日期:2006-07-20
基金项目:
"Nasal modification" for nasal septum deviation: assessment of clinical outcomes
YE Qing,YANG Yu-mei,LIAO Jian-chun,WANG Hai-qing,SUN Ai-hua
(第二军医大学长征医院耳鼻咽喉科,上海,200003)
Abstract:
From 2003 to 2004, 83 patients (166 sides) with nasal septum deviation were treated in our hospital, including 38 receiving submucous resection of nasal septum (SRNS) and 45 receiving submucous resection of nasal septum plus unilateral or bilateral partial inferior turbinectomy (SRNS+U/B PIT). All patients were tested by Eccovision acoustic rhinometry before and 6 months after operation to assess the treatment effect. It was found that total nasal cavity was bigger in the patients receiving SRNS+U/B PIT than in those receiving SRNS alone (P〈0.05). It was also found that patients receiving SRNS had unsatisfactory and unstable outcomes. Therefore, it is suggested that patients suffering from deviation of nasal septum (caused by chronic hypertrophic rhinitis) should receive SRNS+U/B PIT. In order to standardize this surgical procedure, we named this operation as "nasal modification"; the operation indications and principles of it should be established and completed.
Key words:  deviation of nasal septum  nasal modification  treatment outcome