鼻中隔穿孔实施鼻内镜手术治疗的临床体会 |
| |
引用本文: | 王再兴,赵海亮,刘智献,蓝建平. 鼻中隔穿孔实施鼻内镜手术治疗的临床体会[J]. 现代保健, 2014, 0(29): 139-140 |
| |
作者姓名: | 王再兴 赵海亮 刘智献 蓝建平 |
| |
作者单位: | 广东省深圳市龙岗中心医院耳鼻咽喉科医院,广东深圳518116 |
| |
摘 要: | 目的:观察鼻中隔穿孔患者采用鼻内镜手术治疗的临床体会。方法:收集60例鼻中隔穿孔患者,根据穿孔直径大小分为A、B、C三组,每组20例。其中A组穿孔直径小于0.5 cm,采用鼻内镜下鼻中隔黏骨膜瓣减张的方法,修补鼻中隔穿孔。B组0.5 cm<穿孔直径≤1.5 cm,采用自体大腿阔筋膜筛骨垂直板夹层的方法,修补鼻中隔穿孔。C组穿孔直径大于1.5 cm,采用带蒂鼻腔外侧黏骨膜瓣方法,修补鼻中隔穿孔。结果:所有患者随访半年后,发现A组患者均痊愈;B组患者8例好转,12例愈合;C组患者7例好转,13例愈合。结论:采用鼻内镜下手术是治疗鼻中隔穿孔的最佳措施,能够显著缓解患者的痛苦。修补术后的保湿,抗感染可以加快伤口愈合,依据穿孔大小选择副损伤最小的手术方式及移植材料,提高手术成功率。
|
关 键 词: | 鼻内镜 鼻中隔穿孔 鼻中隔穿孔修补术 临床体会 |
Clinical Experience of Nasal Endoscopic Surgery in the Treatment of Nasal Septum Perforation |
| |
Affiliation: | WANG Zai- xing, ZHAO Hai-liang, LIU Zhi-xian Shenzhen Longgang Center Hospital Otolaryngology Hospital of Division, Shenzhen 518116, China |
| |
Abstract: | Objective:To observe the clinical experience of nasal endoscopic surgery in the treatment of nasal septum perforation . Method:60 patients with nasal septum perforation were collected and divided into three groups according to their hole diameter size,each of 20 cases.Group A was treated by nasal endoscopic nasal septum sticky periosteal flap reduction method,with perforation diameter less than 0.5 cm .Group B was treated by autologous thighs broad fascia ethmoid vertical powder layer,with perforation diameter between 0.5 cm and 1.5 cm.Group C was treated by pedicle lateral nasal cavity mucoperiosteal flap method,with perforation diameter more than 1.5 cm . Result:After all patients were followed up half a year,all patients in group A were recovered;8 patients in group B were better,12 cases were healed;7 patients in group Cwere improved and 13 patients were healed . Conclusion:Nasal endoscopic surgery was the best action to treat nasal septum perforation,which can significantly relieve patient’s pain.Repaired postoperative moisturizing and anti-infection can accelerate wound healing,choose operation method and graft materials according to the hole size,which shall have the least negative vice injury to improve the suegery’s success rate. |
| |
Keywords: | Nasal endoscope Nasal septum perforation Nasal septum perforation repair Clinical experience |
本文献已被 维普 等数据库收录! |
|