刘建强
LIU Jianqiang

• 1:凉山州第二人民医院眼耳鼻喉科

摘要(Abstract)：

目的:观察鼻窦内窥镜下鼻中隔偏曲黏膜下矫正治疗鼻中隔偏曲的疗效。方法:120例鼻中隔偏曲患者,65例采用鼻窦内窥镜下鼻中隔偏曲黏膜下矫正(观察组),55例采用鼻窥下鼻中隔黏膜下切除(对照组),观察2组患者术中平均出血量、平均手术时间及平均住院时间,记录2组患者术后鼻腔粘连、鼻中隔血肿、鼻中隔脓肿及鼻中隔穿孔术后并发症,观察手术前后2组患者鼻腔容积(NCV)、鼻腔最小横截面积(NMCA)、鼻呼吸量差异比(NPR)、鼻气道阻力(NAR)及主观鼻塞感受(VAS)评分的变化。结果:与对照组比较,观察组患者平均出血量少,平均手术时间及住院时间短(P<0.05);观察组鼻腔粘连、鼻中隔血肿、鼻中隔脓肿及鼻中隔穿孔术后并发症少于对照组(P<0.05);与术前比较,2组患者术后NCV和NMCA升高,NPR、NAR及VAS评分降低(P<0.05);两组术前、术后NMCA、NPR、NAR及VAS评分比较,差异无统计学意义(P>0.05)。结论:鼻窦内窥镜下鼻中隔偏曲黏膜下矫正治疗效果优于鼻窥下鼻中隔黏膜下切除治疗。
Objective: To investigate the efficacy of nasal septum deviation submucous correction treatment under otolaryngology endoscopes. Method: 120 nasal septum deviation patients involved in the study,Endoscopic sinus surgery was used in 65 patients as experiment group,55 patients were treated by submucous resection of nasal septum surgery as control group. And the clinical data were respectively analyzed,namely bleeding volume in both groups,operation time,hospitalization time,postoperative nasal adhesion,hematoma of nasal septum,complications,NCV,NMCA,NPR,NAR and VAS evaluation changes. Results: The average amount of bleeding in patients with endoscopic sinus endoscopy is less,shorter operation time and shorter hospitalization time( P < 0. 05); less postoperative nasal adhesion,hematoma of nasal septum,complications than control group( P < 0. 05); comparing with before surgery,NCV and NMCA of both groups improved,NPR,NAR and VAS evaluation decreased( P< 0. 05); comparing with before surgery and postoperative NMCA,NPR,NAR and VAS evaluation,there was no statistical significance between both groups( P > 0. 05). Conclusion: Clinical nasal septum endoscopic therapy is more effective than traditional operation.

关键词(KeyWords)： 鼻窦;内窥镜;鼻中隔偏曲;鼻腔容积;鼻气道阻力;主观鼻塞感受评分
paranasal sinus;endoscope;deviation of nasal septum;nasal volume;nasal airway resistance;subjective nasal feel score

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 刘建强
LIU Jianqiang

DOI: 10.19367/j.cnki.1000-2707.2016.03.035

参考文献(References)：

• [1]孙晓琴.鼻内窥镜行鼻中隔矫正术治疗鼻中隔偏曲50例临床观察[J].中国民族民间医药,2015(13):51-53.
• [2]苏小磊,廖剑绚,李明.再次鼻中隔矫正术效果评价及方法探讨[J].中南医学科学杂志,2011(1):65-68.
• [3]颜小梅.鼻内窥镜下鼻中隔偏曲矫正[J].海南医学,2010(21):10.
• [4]樊建华.鼻内窥镜下鼻中隔偏曲矫正术疗效观察[J].中国实用医药,2012(20):62.
• [5]张敏,王永良.鼻鼻内窥镜下下鼻甲部分切除术的疗效[J].中国医药导报,2015(8):169-173.
• [6]李淑萍,王黉遒,毕颜辉.慢性鼻窦炎鼻鼻内窥镜下鼻窦手术的临床疗效观察[J].中国实用医药,2016(5):66-67.
• [7]陈国锋.鼻窦内窥镜下治疗鼻中隔偏曲150例体会[J].国际医学卫生导报,2009(15):4.
• [8]王冬,孙克巍.鼻内窥镜下治疗难治性鼻出血体会[J].中国实用医药,2012(12):105-106.
• [9]张伟,张罗.鼻通气功能客观评价[J].首都医科大学学报,2012(6):740-743.
• [10]黄艳杰.鼻内窥镜下鼻中隔偏曲矫正术[J].吉林医学,2011(14):2804.

文章评论(Comment)：