鼻中隔偏曲的解剖及功能学特征  

Anatomic and functional characteristics of deviation of nasal septum

作　　者：吴坚[1] 

机构地区：[1]南京医科大学附属常州第二人民医院耳鼻喉科,江苏省常州市213003

出　　处：《中国临床康复》2005年第38期140-142,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:基于鼻中隔偏曲发病因素、临床表现和手术方法及存在问题进行综合分析,供耳鼻喉科临床医师和从事此领域研究人员参考。资料来源:主要应用计算机检索1994-01/2004-12CHKD(ChinaHospitalKnowledgeDatabase,中国医院知识仓库)数据库的文献,检索词为“鼻中隔偏曲”,限定文章语言为中文;同时检索1994-01/2004-12pubmed数据库的文献,检索词为“septaldeviation,nasalseptum,deformity”,限定文章语言为English。资料选择:纳入条件:①动物实验。②临床研究。③观察性研究。此外根据数据库提供的文章相关性检索工具又进行了进一步检索。排除条件:①综述文献。②重复研究。资料提炼:共收集到25篇与鼻中隔偏曲发病因素临床表现及手术方法关系紧密的文献。资料综合:①鼻中隔偏曲发病因素大致归纳4种学说:鼻外伤;发育异常;局部推压;出生塑形学说。②临床表现及临床分型:临床表现主要有4大典型症状:鼻塞、头痛、鼻出血、邻近器官症状。临床分型无统一方法,有按其形态分类及功能区域划分等方法。③手术方法:鼻内窥镜外科完善并提高了原有的手术方法。④存在问题:发病率因判断标准不同而相差较大,手术适应证及手术名称亟待规范。结论:鼻中隔偏曲有被动性和主动性两种偏曲过程,规范手术名称及掌握恰当手术原则可取得满意的手术效果。OBJECTIVE： To comprehensively analyze the etiological factors, clinical manifestation, operative manner, and existence problems of deviation of nasal septum so as to provide reference for clinician major in otorhinolaryngology and researchers. DATA SOURCES： A computer search of China Hospital Knowledge Databases was performed to retrieve Chinese articles published from January 1994 to December 2004 by using keyword “deviation of nasal septum”in Chinese. Meanwhile, we retrieved Pubmed databases to search related English article by using keyword “septal deviation, nasal septum, deformity”. STUDY SELECTION： Inclusive criteria included ①animal experiment, ②clinical study and ③observational study. Then a further retrieve was performed by using searching tools supported by databases. Exclusive criteria included ① review, and ② repetitive study. DATA EXTRACTION： Totally 25 articles alout the etiological factors, clinical manifestation, and operative manner of deviation of nasal spetum were enrolled. DATA SYNTHESIS： ① Generally, four etiological factors are nasal trauma, abnormal development, local pressure, and born molding. ② Four typical clinical symptoms include nasal obstruction, headache, nasal bleeding and adjacent organ symptoms. No unification is found in clinical typing, and it is classified according to form and functional areas. Operative manner： Nasal endoscope improves the primary operative manner. ④Problems： Different standards result in a great difference in the adjustment of incidence rate, and operative adaptation symptoms and operative name need to be standardized. CONCLUSION： There are two leaning process for deviation of nasal septum： passive and initiative processes, and specification of operative name and grasp of appropriate operative standard can lead to a satisfied surgical effect.

关 键 词：鼻中隔/畸形 内窥镜检查 综述文献 

分 类 号：R765.31[医药卫生—耳鼻咽喉科]