鼻内镜下鼻中隔矫正术326例.pdfVIP

‘ V01．24 No．4 P．39 24卷第4 39页) 北民族学院学报 医学 钜 i nstitute for National一ities ‘ Med—ica．1一Editi．on 2o07 2007 Journal of Hube I 鼻内镜下鼻中隔矫正术326例 李良波 湖北民族学院医学院附属医院耳鼻咽喉科(湖北恩施445000) 【摘要】目的 探讨鼻内镜下鼻中隔矫正术的疗效及并发症的预防。方法 对收治的326例鼻中隔偏曲患者行鼻 内镜下鼻中隔矫正术的临床资料进行总结分析。结果 326例患者均一次矫正满意，无一例发生并发症。结论 鼻内镜下鼻中隔矫正术疗效满意，手术损伤小，出血少，手术时间短，并发症少，值得推广应用。 【关键词】鼻中隔偏曲；鼻中隔矫正术／并发症；鼻内镜；鼻中隔血肿 【中图分类号】R765．3 【文献标识码】A 【文章编号】1008—8164(2007)04-0039一O3 Clinical Analysis of 326 Patients Undergoing Endoscopic Nasal Septal Reconstruction LI Liang—b。 (Department ofOtolaryngology，Affiliated Hospital Hubei Institutefor Nationalities，Enshi 445000，China) 【Abstract】Objective To explore the of curative effect of nasal septum reconsotructioin by na— salendoslope rewnstruction and its complications prevention．Methods 326 cases of nasaI sep— tum deviation patients undergoing endoscopic nasal septal reconstruction were analyzed．Re- suits 326 cases of patients were satisfied with a reconstruction，no complications occurred in these patients．Conclusions The cu rative effect of the endoscopic nasal septum surgery iS satis— factory and has the advantages of shorter operation time，less amount of bleeding and fewer complications after operation．So its worthy of clinic application． 【Key words】Nasal septum deviation；Nasal septum surgery／Complication；Endoscope；Nasal septum hematoma 鼻中隔偏曲是临床常见疾病，其根本治疗措施 1 资料与方法 是采用手术矫正。传统额镜下鼻中隔矫正术由于光 源亮度不够，视野狭小，能见度差，助手帮不上忙，操 1．1 临床资料 本组病例男 183例、女143例，年 作受限制，特别是在对高位、后段和不规则鼻中隔偏 龄l6岁一56岁，平均年龄4l岁。其中高位偏曲 曲患者施行手术时难度较大，鼻中隔偏曲矫正常不