鼻中隔棘突激光切除术

目的：研究鼻中隔棘突激光切除术的疗效。方法：52例鼻中隔棘突患者通过激光手术纠正鼻中隔棘突,术后进行疗效评估。结果：50例鼻塞患者中,术后46例（92.0%）治愈,4例（8.0%）好转。32例头痛患者中28例（87.5%）头痛视觉模拟评分改善了50%以上,其中9例头痛完全缓解,4例头痛评分效果改善不到25%。随访发现鼻中隔创面可在1个月内完全自行修复,所有患者均未发现有鼻中隔穿孔、脓肿,脑脊液漏等并发症发生。结论：鼻中隔棘突激光切除术视野清晰,操作简单,出血少,并发症少,费用低,患者术后痛苦小。

Laser-assisted outpatient septal spur surgery

Objective： The objective was to investigate the effectiveness of holmium-YAG laser-assisted septo- plasty for septal deviations under local anesthesia. Method：All holmium-YAG laser-assisted septoplasty procedures performed at Beijing hospital（Beijing, China） between August 2009 and May 2012. These patients were operated upon in an outpatient surgical suite. Result：The success rate after surgery with regard to nasal obstruction（50 pa- tients） is 92.0% （46 patients） of patients reporting remarkable improvement. Of the 32 patients with rhinologic headaches, A total of 28 subjects（87.5 %） had their headache scores improved by 50 % or more after surgery; nine （28.1%） were pain free at the last follow-up; four（12.5%） had a less than 25% reduction in their headache score. There were no patients with severe postoperative bleeding. There were no patients with septal perforation. Conclusion：The holmium-YAG laser-assisted septoplasty is a useful approach to correct septal deviations. There is improved safety due to the enhanced viewing conditions and ample operating space during septal surgery, particu- larly in posterior septal spurs. The holmium-YAG laser-assisted septoplasty can limit the dissection to the area of deviation, thereby reducing postoperative swelling and the development of complications. It also has other advan- tages including lower medical costs, and faster return to full activity.