鼻声反射和鼻腔测压评价鼻中隔矫正术对双侧鼻腔的影响  

Bilateral effects of the pre-and postoperative septoplasty evaluated objectively with acoustic rhinometry and rhinomanometry

作　　者：韩锦华[1] 王彤[2] 臧洪瑞[2] 刘承耀[2] 王鸿[3] 张永杰[2] 李谱[2] 

机构地区：[1]大连大学附属新华医院耳鼻咽喉科,辽宁大连116021 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科中心教育部省部共建重点实验室 [3]北京市耳鼻咽喉科研究所

出　　处：《临床耳鼻咽喉头颈外科杂志》2009年第12期542-545,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：北京市科技计划项目(No:z0005190041531)

摘　　要：目的:评价鼻中隔矫正术对双侧鼻腔的影响。方法:用鼻声反射和前鼻主动测压法对22例鼻中隔矫正术患者分别于术前和术后进行测试,其中3例行双下甲成形术,1例由于单侧鼻腔完全阻塞术前未能测出鼻声反射和鼻阻力数值,2例宽敞侧鼻腔行右下甲成形术,予以排除。最后纳入实验组狭窄侧鼻腔18侧,宽敞侧鼻腔16侧。记录鼻腔最小横截面积(NMCA)、NMCA至前鼻孔的距离(DCAN)、0～5cm鼻腔容积(NCV)和鼻阻力,进行统计学分析。结果:前鼻测压结果:偏曲侧鼻腔的吸气有效阻力术后比术前有明显下降(P<0.05),而宽敞侧吸气有效阻力术后较术前下降,但差异无统计学意义(P>0.05)。鼻声反射结果:偏曲侧鼻腔收缩前,0～5cmNCV和NMCA术后比术前明显增大,DCAN明显前移,3项指标均显示差异有统计学意义(均P<0.01)。宽敞侧鼻腔收缩前,0～5cmNCV术后比术前轻微增大,术后NMCA较术前轻微减小,DCAN较术前后移,3项指标的差异均无统计学意义(均P>0.05)。收缩后,0～5cmNCV术后比术前增大,差异有统计学意义(P<0.05);术后NMCA较术前轻微减小,差异无统计学意义(P>0.05)。结论:鼻中隔矫正术对偏曲侧鼻腔的功能和几何形态有明显改善,对侧宽敞侧鼻腔的通气功能和几何形态无明显恶化。Objective：To evaluate effects of septoplasty on bilateral nasal cavities with acoustic rhinometry and rhinomanometry objectively. Method：Twenty-two patients who underwent septoplasty were examined with rhinomanometry and acoustic rhinometry before and 6 to 12 months after surgery. Of the 22 patients, 1 patient whose rhinomanometry and acoustic rhinometry datum were not available for the bilateral nasal obstruction, 3 patients with bilateral turbinectomy and 2 patients with unilateral turbineetomy wide nasal cavities were excluded. Finally, 18 narrow side nasal cavities and 16 wide side nasal cavities were analyzed. Result： Rhinomanometry： nasal resistance on the deviation side decreased significantly （P〈0.05）, whereas on the eontralateral side decreased slightly （P〉0.05）. Acoustic Rhinometry： the predeeongestion nasal minimal cross-sectional area （NMCA） and 0-5 cm NCV on the deviation side increased significantly due to the operation（P〈0.01）. The corresponding pdstdecongestion increased were the same. Whereas on the contralateral side NMCA decreased and 0--5 cm NCV increased slightly before deeongestion and after decongestion（P〉0.05）. Only slight median increases were noted in the bilateral assessment postoperatively in NCV（P〉0. 05） before and（P〈0. 05） after decongestion. Conclusion： The nasal patency on the deviation side is undoubtedly increased after septoplasty, and the airway on the wide side is not worsened after the operation.

关 键 词：鼻中隔偏曲 鼻中隔矫正术 鼻声反射 鼻腔测压 

分 类 号：R765.3[医药卫生—耳鼻咽喉科]