鼻内镜下复杂鼻中隔偏曲矫正术52例报告

目的:探讨鼻内镜下复杂鼻中隔偏曲矫正术的疗效及手术体会。方法:对52例高位后段、巨大嵴突和棘突、多种弯曲形态并存、鼻中隔骨折脱位及需二次矫正偏曲,经鼻内镜检查及鼻窦CT扫描(冠状位)确诊的患者采用经鼻内镜下偏曲矫正术,随访6个月以上。结果:52例患者鼻中隔矫正效果满意,鼻腔通气良好,无鼻中隔穿孔、鼻腔粘连及鼻梁塌陷等症状。结论:在鼻内镜下行复杂鼻中隔偏曲矫正术,照明度好,视野清晰宽广,精细准确,保持了鼻中隔稳定性,安全、微创,符合鼻生理功能的需要及微创手术的要求。

Endoscopic surgery of complicated deflection of nasal septum in 52 cases

Objective:To discuss the clinic effect and surgical experience of complicated deflection of nasal septum with endoscopic surgery.Method:Fifty-two patients with complicated deflection of nasal septum were diagnosed by nasal endoscopy and CT scan,such as posterior segment deflection,huge processus spinosus,multi-abnormal curvature,nasal septum fracture dislocation and second operation for deflection of nasal septum.All case were followed-up for six months,Result: All case had satisfactory surgical results.All had an unobstructed nasal cavity and no perforation of nasal septum,nasal synechia and bridge of nose collapsed.Conclusion:Endoscopic surgery in complicated deflection of nasal septum have the good advantages of vision and accuracy.So the endoscopic surgery is a minimally invasive surgery and benefit to the nasal physiological function.