鼻中隔偏曲矫正术后预防并发鼻中隔穿孔的研究

目的探讨鼻中隔偏曲矫正术后并发鼻中隔穿孔的预防措施。方法采用回顾性研究，总结分析20年来我科经治的243例鼻中隔偏曲患者术后疗效及穿孔的发生情况。结果鼻中隔粘膜下矫正术组185例，其中发生黏膜破损41例（22．16％），术后并发鼻中隔穿孔1例（0．54％），与鼻中隔黏膜下切除术组比较，差异有统计学意义，P〈0．05。疗效评定：鼻中隔黏膜下矫正术组，治愈31例（74．59％），好转47例（25．41％），与黏膜下切除术组疗效比较，差异有统计学意义，P〈0．005。结论无论从预防鼻中隔穿孔的角度，还是手术的疗效角度，鼻中隔偏曲黏膜下矫正术都是比鼻中隔黏膜下切除术更理想的术式。

Study on preventing perforation in post-correction patients with nasoseptal deviation

Objective To prevent perforation of nasal septum in post-correction patients with nasoseptal deviation. Methods 243 cases with operation of nasal septum from November 1984 to November 2004 were analyzed retrospectively. Results In 158 cases with submucous correction of nasal septum , 41 cases (22.16%) mucous membrane were broken and 1 cases(0.54%) had the complication of nasal septum perforation. Thirty one cases(74.59%) were cured and 47 cases(25.41%) were improved. There was significantly difference compared with submucous resection. Conclusion Submucous correction of nasal septum through endoscopy may substitute for submucous resection of nasal septum, which can protect the mucous membrane and reduce the complications of perforation of nasal septum.