不同类型鼻中隔偏曲53例矫正方法选择

目的探讨针对不同的鼻中隔偏曲类型，使用不同手术方式矫正鼻中隔偏曲的临床效果。方法对10例整体偏曲、24例局限性单部位偏曲、19例多部位局限性偏曲患者，分别使用传统鼻中隔黏膜下切口、单个“L”形切口、多个“L”形切口等方法矫正鼻中隔，并对其临床疗效进行评价。结果术后第1周复查中，2例鼻中隔整体偏曲、2例多部位局限性偏曲的切口侧渗出物较多。3个月复查见所有病例矫正后的鼻中隔偏曲形态良好，无鼻中隔穿孔以及鼻中隔摆动；除5例仍有轻微的交替性鼻塞外，其余患者术后鼻腔通气改善，头痛症状消失，患者感觉满意。结论根据鼻中隔偏曲的部位和类型，选择不同的手术方法进行鼻中隔矫正，临床效果好，组织损伤少，减少并发症和患者的痛苦。

Methodological selection to correct different types of nasal septum deviation: report of 53 cases

Objective To explore the clinical effect of using different operation modes to correct the nasal septum deviation in view of different deviations of nasal septum. Methods The traditional submucosal nasal septum incision, the single ＂ L ＂ shape incision, the muhiple ＂ L＂ shape incision was respectively used to correct the nasal septum deviation in 10 patients with total deviation, 24 patients with limited single position deviation, 19 patients with muhi-localized limited deviation and the clinical effects were evaluated. Results On the first postoperative week＇ s review, there was more exudate in ：2 patients with total deviation and 2 patients with multi-localized limited deviation ; 3 months after operation, the corrected nasal septum in all patients were in good shape. In addition, there was no perforation of the nasal septum and no septum swing. Although 5 patients still had minor alternate nasal obstruction, the other patients felt satisfied with the ventilation improvement and disappearance of headache. Conclusion Accord- ing to the location and type of deviation of nasal septum, selecting different operation modes for correction of nasal septum deviation had a good clinical effect. It can have less tissue damage and reduce the complications and the pain of patients.