鼻内镜三线减张法矫正鼻中隔偏曲  

Three line tension relaxing correction for deviation of nasal septum

作　　者：洪晓林[1] 

机构地区：[1]贵州省贵阳市第一人民医院耳鼻喉科,贵州贵阳550002

出　　处：《海南医学院学报》2010年第8期1038-1040,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020100295)~~

摘　　要：目的:观察采用三线减张法矫正鼻中隔偏曲的临床效果。方法:在鼻内镜下,于鼻中隔左侧皮肤与黏膜交界处行killian切口,将鼻中隔软骨前、后、下分别与两侧大翼软骨内侧角、筛骨垂直板及犁骨、上颌骨鼻嵴相衔接处分离,并在此分别形成的前、后、下三条受力线及核心受力区切除条状软骨和骨质,解除其应力,从而矫正鼻中隔,即三线减张法矫正56例鼻中隔偏曲患者。结果:本组56例患者均一次性完成手术,切口均Ⅰ期愈合,鼻中隔基本恢复平直,术后随访6～18个月,56例患者双侧鼻腔通气良好,鼻塞、鼻出血、头痛、眩晕及耳鸣等多种症状均明显改善,无一例出现鼻中隔血肿、穿孔、出血及外鼻畸形,无鼻中隔摆动及脑脊液鼻漏等并发症。结论:三线减张法矫正鼻中隔,符合鼻中隔偏曲的生物力学规律,保留了鼻中隔的大部分硬质支架,具有创伤小,严重并发症少等优点,更符合功能性、微创手术的原则。Objective：To explore the clinical therapeutic effects of three lines tension relaxing correction for deviation of nasal septum.Methods：Three lines tension relaxing correction were performed on 56 patients with deviation of nasal septum.First cut a Killian incision at the junction of the skin and mucous membranes on the left side of the nasal septum under endoscopy,then separated the nasal septum cartilage from the angle formed by two greater alar cartilages,perpendicular plate of the ethmoid bone,and the junction of vomer and maxilla at the nasal crest,this procedure was applied to correct deviation of nasal septum by decompression,which was named three lines tension relaxing correction.Results：The procedure were successful on all 56 cases,incisions were at stage？？？ling,and the nasal septum were corrected to be straight.According to follow up ranging from 6-18 months,all cases showed good nasal ventilation,symptoms of stuffy nose,bleeding nose,headache,headache,dizziness and tinnitus,etc were greatly improved,no complications of nasal septum hematoma,perforation,bleeding,nasal deformity,nasal septum swing or cerebrospinal fluid rhinorrhea was observed.Conclusions：With advantages of less invasion and fewer complications,three line tension relaxing correction is consistent with the biomechanical characters of nasal septum deviation,and make it possible to keep the main nasal structure.

关 键 词：鼻中隔 三线减张 鼻内镜 

分 类 号：R765.31[医药卫生—耳鼻咽喉科]