鼻中隔偏曲行鼻中隔矫正手术中方形软骨矫形后重新植入疗效观察.docVIP

精品论文 参考文献 鼻中隔偏曲行鼻中隔矫正手术中方形软骨矫形后重新植入疗效观察 邓小明 董阳 李伟 刘永军 　　（云南省第一人民医院耳鼻咽喉科 云南 昆明 650032） 　　【摘 要】目的：探讨术中方形软骨矫形后重新植入治疗鼻中隔偏曲的临床疗效。方法：选取自2010年 8 月至 2014 年1月收治的鼻中隔偏曲患者351例， 随机分为两组，观察组186例，采用方形软骨矫形后植入；对照组165例，采用方形软骨去除术，比较两组的临床疗效和并发症发生情况，并进行统计学分析。结果：观察组总有效率为100%，高于对照组81.8%，plt;0.05；观察组并发症发生率为0，低于对照组6.1%，plt;0.05。结论：鼻中隔偏斜矫形术中方形软骨矫形后重新植入有利于恢复鼻中隔解剖形态，防止并发症，矫形满意，值得同行推介。 　　【关键词】鼻中隔偏曲；方形软骨；矫形 　　【中图分类号】R622 【文献标识码】A 【文章编号】1004-6194（2015）01-0030-02 　　Nasal septum deviation of nasal septum corrected operation in orthopedic implantation quadrate cartilage again after curative effect observation of ---186 cases 　　Deng Xiaoming, Dong Yang, Li Wei, Liu Yongjun 　　(The first peoples Hospital of Yunnan Province, Department of Otorhinolaryngology, Kunming, Yunnan Province,650032) 　　【Abstract】Objective: To investigate the clinical efficacy of nasal septum cartilage after re operation square orthopedic implantation in the treatment of deviation of nasal septum. Methods: select 351 cases in our hospital from 2010 August to 2014 January were analyzed in patients with nasal septum deviation, were randomly divided into two groups, the observation group 186 cases, using quadrate cartilage after orthopaedic implant; control group 165 cases, ablation using quadrate cartilage incidence, clinical efficacy and complications were compared between the two groups, and statistical analysis. Results: the total effective rate of observation group was 100%, higher than 81.8% in the control group, the observation group plt;0.05; complication rate was 0, lower than that of the control group 6.1%, plt;0.05. Conclusion: the nasal septum deviation orthopedy square cartilage orthopedic again after implantation is beneficial to the recovery of nasal septal anatomy, prevent the complications, satisfactory cosmetic results, worthy of peer recommendation. 　　【keyword】square deviation of nasal septum; cartilage; orthopedic 　　前言 　　鼻中隔偏曲指因鼻中隔一侧或两侧突起或凹陷而引起的鼻中隔不对称，并由此导致鼻腔、鼻窦无法发挥正常的生理功能而产生一系列临床症状[2]。目前，鼻中隔矫正手术是最好的