| 游离下鼻甲黏膜修补鼻中隔穿孔 |
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| 引用本文： | 刘邦华,赵荣,孔维佳. 游离下鼻甲黏膜修补鼻中隔穿孔[J]. 临床耳鼻咽喉头颈外科杂志, 2004, 18(8): 468-469 |
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| 作者姓名： | 刘邦华 赵荣 孔维佳 |
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| 作者单位： | 华中科技大学同济医学院附属协和医院耳鼻咽喉-头颈外科,武汉,430022;成都市铁路中心医院耳鼻咽喉科 |
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| 摘 要： | 目的：探讨应用游离下鼻甲黏膜于鼻中隔黏膜夹层内缝合固定修补鼻中隔穿孔的效果。方法：用鼻中隔黏膜下矫正术的方法分离鼻中隔穿孔周围的黏软骨膜及骨膜，切取下鼻甲黏膜，将下鼻甲黏膜缝合固定于鼻中隔黏软骨膜及骨膜袋内，完全覆盖鼻中隔穿孔。结果：21例患者鼻中隔穿孔均修补成功，鼻中隔基本平直，双侧鼻腔通气良好。3～6个月后随访观察，鼻中隔未见穿孔。结论：自体下鼻甲黏膜取材方便，容易存活，可用于修补较大面积的鼻中隔穿孔；本文所用的缝合固定下鼻甲黏膜片的方法操作简单易行，移植物固定牢固，不易移位。
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| 关 键 词： | 鼻中隔穿孔 鼻中隔穿孔修补术 下鼻甲黏膜 |
| 文章编号： | 1001-1781(2004)08-0468-02 |
| 修稿时间： | 2004-02-19 |
To repair perforation of nasal septum with free mucosa of inferior turbinate |
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| LIU Banghua ZHAO Rong KONG Weijia. To repair perforation of nasal septum with free mucosa of inferior turbinate[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2004, 18(8): 468-469 |
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| Authors: | LIU Banghua ZHAO Rong KONG Weijia |
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| Affiliation: | Department of Otolaryngology-Head and Neck Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. |
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| Abstract: | Objective:To study a new treatment to repair perforation of nasal septum with free mucosa of inferior turbinate between two sides of mucosa of nasal septum.Method:The mucosa around perforation of nasal septum was separated by means of submucous correction of nasal septum,and some mucosa of inferior turbinate was cut down,then the mucosa bag of nasal septum and the free mucosa of inferior turbinate were sutured and the perforation could be covered completely.Result:The perforations of nasal septums in 21 patients were closed satisfactorily.Perforation of nasal septum did not recur and the follow-up time ranged from 3 months to half a year.Conclusion:The free mucosa of inferior turbinate is easy to be got and survive. What's more, it can be used to repair a big perforation of nasal septum. Our method is easy to be performed and the free mucosa can be fixed tightly. |
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| Keywords: | Perforation of nasal septum Repair of nasal septal perforation Mucosa of inferior turbinate |
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