鼻内镜在茎突过长手术中的临床应用

目的：探讨鼻内镜在茎突截短手术中的临床应用及其疗效。方法：将66例患者随机分为鼻内镜组与对照组，各组33例。鼻内镜组在茎突截短术中使用鼻内镜辅助下行茎突截短术，对照组则采用常规方法即口内路径行茎突截短术，手术均由同一术者完成。术后观察并记录茎突截短长度、手术时间、术中出血量、术后疼痛时间及程度、术后创面反应程度及术后再出血共6项指标。结果：鼻内镜组茎突截断长度较对照组长；2组手术时间比较无明显差异；鼻内镜组术中出血量为（85．0±35．0）ml，对照组为（95．0±40．0）ml，两者无明显差异；鼻内镜组患者术后疼痛较对照组轻，时间也较短；鼻内镜组患者术后创面反应较对照组轻；2组术后均无出血。结论：鼻内镜应用于双侧茎突截短术中截短茎突长度较长，且术后疼痛小，反应轻，是一种较为安全、微创的手术方式。

Application of nasal endoscopy in styloid process truncating operation

Objective： To investigate the application and the clinical effect of nasal endoscope in styloid process truncating operation. Method ： Dividing 66 patients into nasal endoscope group and control group randomly, and then observe them. Nasal endoscope group were cured with nasal endoscope during the styloid process truncating operation and the control group were treated with the routine method of intraoral path. All the operations were executed by the same person. Observation index included the following aspects., the length of the truncated styloid process, the operation time, intraoperative bleeding, postoperative pain and pain degree, inflammatory reaction of raw surface and rehaemorrhagia. Result： Compared with the control group, the length of the truncated styloid process of nasal endoscope group were longer and the operation time had no significant differences. The intraoperative bleeding of intraoperative bleeding group were （85.0 ± 35.0） ml and in control group were （ 95.0 ± 40.0） ml. There are no significant differences between the result. Nasal endoscope group also had the advantages of fewer aches and less inflammatory reaction of raw surface. Both of the team had no rehaemorrhagia. Conclusion.. nasal endoscope can truncate a longer styloid process in styloid process truncating operation and is effective to relieve pain, and ease inflammatory reaction, it＇s a safe mini-trauma operation.