经鼻内镜下鼻中隔矫正术的优点总结--附100例报道.pdfVIP

中 国 医 药 指 南 2014 年 4 月第 12 卷第 12 期 • 论 著 • 7 经鼻内镜下鼻中隔矫正术的优点总结——附100例报道 陈伟龙* 陈锦 贤 林楚标 （汕头市澄海人民医院耳鼻咽喉头颈外科，广东汕头515800 ） 【摘要】目的 总结经鼻内镜鼻中隔偏曲矫正术的手术技巧及优点。方法 对 2008 年 6 月至 2012 年 6 月，我科对鼻中隔偏曲患者施行鼻中 隔矫正术 100 例的临床资料进行回顾性分析，对手术过程进行总结并观察其术后疗效。结果 100 例在鼻内镜下行鼻中隔偏曲矫正术，所 有患者均一次性地获得完全矫正，术后鼻腔通气良好。随访 6~ 12 个月，主观治愈率 95% （95/ 100），好转率 5% （5/ 100）。无塌鼻、鼻中 隔穿孔及鼻中隔脓肿等现象，鼻塞、头痛、流涕等症状均消失或明显改善。结论 在鼻内镜下行鼻中隔偏曲矫正术，具有直观、微创、精细、 安全、并发症少、患者痛苦小、便于示教等优点，可以同时行鼻窦炎或鼻息肉的功能性鼻窦内镜术，具有绝对优越性。 【关键词】 鼻内镜；鼻中隔偏曲；矫正术 中图分类号：R765.3 文献标识码：B 文章编号：1671-8194（2014）11-0007-02 CHEN Wei-long*, CHEN Jin-xian, LIN Chu-biao (Department of Otolaryngology Head and Neck Surgery, Shantou Chenghai Peoples Hospital, Shantou 515800, China) [Abstract]Objective To summarize surgical technique and advantages of nasal septum deviation orthotics under intranasal endoscopy. Method Clinical data of 100 patients with nasal septum deviation diagnosed and underwent nasal septum deviation orthotics under intranasal endoscopy in our division from June 2008 to June 2012 was analyzed retrospectively. Process of surgery and the postoperative curative effect was observed. Results All 100 cases were completely corrected and need no reoperation. Postoperative ventilation of nasal cavity was normal. Patients were followed up for 6 to 12 months after , ( ), ( ) surgery the subjective cure rate was 95% 95/100 and improvement rate was 5% 5/100 . No bridge collapse, nasal septum perforation or nasoseptalabscess were observed. Symptoms of nasal congestion, rhinorrhea and headache were significantly improved or disappeared. Conclusion Nasal septum deviation orthotics under intranas