歪鼻矫正术两种术式的探讨  

Clinical study of two surgical approaches in deviated nose

作　　者：王珮华[1] 汪涛[1] 王钟颖[1] 陈东[1] 石润杰[1] 

机构地区：[1]上海交通大学医学院第九人民医院耳鼻咽喉科

出　　处：《中国耳鼻咽喉颅底外科杂志》2007年第1期41-43,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的比较部分歪鼻(鼻中隔偏曲伴鼻梁歪斜)矫正术的两种术式,探讨鼻外径路术式的适应证。方法选择58例鼻中隔偏曲伴软骨锥偏斜的患者,37例行鼻外径路矫正术,21例行鼻内径路矫正术,其中6例在鼻内镜辅助下。结果鼻外径路术式治愈22例,有效31例;鼻内径路术式治愈4例,有效9例。两种术式的疗效经卡方检验,有统计学意义(P<0.01)。提示在本组病例中,鼻外径路术式的疗效优于鼻内径路术式。结论鼻外径路术式适用于鼻中隔框架亚区的畸形纠正。Objective To compare two surgical approaches applied in the plastic surgery of deviated nose and to discuss the indications of the two surgical approaches and the application of external approach. Methods Fiftyeight patients suffering from nasal septal deviation （NSD） with cartilaginous vault deformity were chosen. Plastic surgery was performed via external approach in thirty-seven cases and via endonasal approach in twenty-one. Results Twenty-two cases were cured and thirty-one were effective with external approach; four cases were cured and nine were effective with endonasal approach. The difference of curative effect between the two approaches was statistically significant （ P〈0. 01）. Conclusion It is important to choose the surgical approach based on deviation area of the nasal septum. The surgical via external approach is indicated in the framework deformity of nasal seputm.

关 键 词：歪鼻 鼻中隔偏曲 鼻中隔矫正术 术式 术后疗效 

分 类 号：R765.31[医药卫生—耳鼻咽喉科]