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| 伴慢性鼻及鼻窦炎的外伤性歪鼻畸形一期鼻功能性整复 | |
| 引用本文： | 王成元,宋剑武,杨大章. 伴慢性鼻及鼻窦炎的外伤性歪鼻畸形一期鼻功能性整复[J]. 中国耳鼻咽喉头颈外科, 2009, 16(5): 263-266 |
| 作者姓名： | 王成元 宋剑武 杨大章 |
| 作者单位： | 卫生部中19友好医院耳鼻咽喉头颈外科,北京,100029;秦皇岛市港口医院耳鼻咽喉科,河北,秦皇岛,066000 |
| 摘 要： | 目的探讨伴慢性鼻及鼻窦炎的外伤性歪鼻畸形一期鼻功能性整复的可能性、手术方法、术后疗效及手术并发症。方法选择37例伴慢性鼻及鼻窦炎的外伤性歪鼻畸形患者,一期行鼻中隔矫正、功能性鼻内镜手术、鼻甲手术、歪鼻矫正等。术后1个月随访观察外鼻形状,并测量术后偏离值。术后3个月对慢性鼻及鼻窦炎症状行主观评分和内镜下评分,评分结果行统计学处理。结果37例歪鼻患者,术前偏离值为（6.64±2.21）mm,术后偏离值为（2.04±0.97）mm,手术前、后偏离值差别有显著性意义（t=6.374,P〈0.001）,其中歪鼻治愈率83.8%（31/37）、有效率16.2%（6/37）。慢性鼻及鼻窦炎治愈率为95.4%,手术前、后急性鼻窦炎复发、嗅觉、鼻腔通气、鼻腔分泌物、头痛、总体症状改善6项评分经t检验,差异均有统计学意义。结论伴慢性鼻及鼻窦炎的外伤性歪鼻畸形一期鼻功能性整复,一次手术同时完成鼻功能重建及外形矫正,符合现代鼻外科学发展要求,具有推广价值。 |
| 关 键 词： | 鼻窦炎 鼻畸形 获得性 鼻成形术 |
| 收稿时间： | 2008-09-08 |
Stage-I functional reconstruction of traumatic deviated nose deformity with chronic rhino-sinusitis |
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| WANG Chengyuan,SONG Jianwu,YANG Dazhang. Stage-I functional reconstruction of traumatic deviated nose deformity with chronic rhino-sinusitis[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2009, 16(5): 263-266 | |
| Authors: | WANG Chengyuan SONG Jianwu YANG Dazhang |
| Affiliation: | 1 Department of Otolaryngology Head and Neck Surgery;China-Japan Friendship Hospital;Ministry of Health;Beijing;100029;China;2 Department of Otolaryngology;Port Hospital of Qinhuangdao City;Qinhuangdao;Hebei;066000;China |
| Abstract: | OBJECTIVE To explore the feasibility, surgical method, surgical effect and postoperative complications of stage-I functional reconstruction of traumatic deviated nose deformityaccompanied with chronic rhino-sinusitis.METHODS 37 patients with traumatic deviated nose deformity accompanied with chronic rhino-sinusitis were selected in this study.Methods of stage-I reconstruction included endoscopic nasal septoplasty, functional endoscopic sinsus surgery(FESS), turbinectomy, rhinoplasty and so on.The patients w... |
| Keywords: | Sinusitis Nose Deformities Acquired Rhinoplasty |
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