"鼻腔矫正术"治疗鼻中隔偏曲的疗效评价

2003～2004年83例(166侧)鼻中隔偏曲男性患者在我院接受手术治疗,其中接受鼻中隔黏膜下切除术者38例,接受鼻中隔黏膜下切除加单或双侧下鼻甲部分切除术者45例.术前及术后6个月应用Eccovision型声反射鼻测量计对以上患者进行测试,评价手术疗效.结果发现鼻中隔黏膜下切除加做单或双侧下鼻甲部分切除术患者鼻腔总容积明显大于鼻中隔黏膜下切除术患者,而单纯行鼻中隔黏膜下切除术患者的疗效欠佳且不稳定.因此,笔者推荐对于合并慢性肥厚性鼻炎的鼻中隔偏曲患者应施行鼻中隔黏膜下切除加做单或双侧下鼻甲部分切除术,为简化命名并规范此类手术,建议将此手术命名为"鼻腔矫正术",并建议进一步建立和完善此手术的手术适应证和手术原则.

"Nasal modification" for nasal septum deviation: assessment of clinical outcomes

From 2003 to 2004,83 patients(166 sides) with nasal septum deviation were treated in our hospital,including 38 receiving submucous resection of nasal septum(SRNS) and 45 receiving submucous resection of nasal septum plus unilateral or bilateral partial inferior turbinectomy(SRNS+U/B PIT).All patients were tested by Eccovision acoustic rhinometry before and 6 months after operation to assess the treatment effect.It was found that total nasal cavity was bigger in the patients receiving SRNS+U/B PIT than in those receiving SRNS alone(P<0.05).It was also found that patients receiving SRNS had unsatisfactory and unstable outcomes.Therefore,it is suggested that patients suffering from deviation of nasal septum(caused by chronic hypertrophic rhinitis) should receive SRNS+U/B PIT.In order to standardize this surgical procedure,we named this operation as "nasal modification";the operation indications and principles of it should be established and completed.