鼻内镜下带蒂粘软骨膜（粘骨膜）瓣翻转法修补鼻中隔穿孔的研究  

Study on repairing the nasal septum perforation by shifting the pediculate mucoperichondrial-mucoperiosteal flaps of nasal septum under nasal endoscope

作　　者：李厚恩[1] 钱进[1] 

机构地区：[1]海军总医院耳鼻咽喉头颈外科,北京100048

出　　处：《中国急救复苏与灾害医学杂志》2013年第6期523-525,共3页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：全军十一五计划面上项目（06MA014）

摘　　要：目的探讨鼻内镜下用鼻中隔、鼻底带蒂粘软骨膜（粘骨膜）瓣修补鼻中隔穿孔的方法与疗效。方法在鼻内镜下于一侧鼻腔采用穿孔上方的鼻中隔粘膜制作以穿孔上缘为蒂的粘软骨膜f粘骨膜）瓣并向下反转；对侧鼻腔采用穿孔下方的鼻中隔及鼻底粘膜制作以穿孔下缘为蒂的粘软骨膜（粘骨膜）瓣并向上翻转。将双侧粘软骨膜（粘骨膜）瓣分别通过穿孔翻转至对侧鼻腔，修补穿孔并覆盖于对侧的粘膜瓣供区创面，贯穿缝合固定粘软骨膜（粘骨膜）瓣。结果21例中20例一次修补成功，随访1～3年，未见再穿孔。鼻中隔、鼻底供区创面在3-6周后愈合。1例未成功者为穿孔较小且穿孔边缘粘膜菲薄者。结论鼻中隔、鼻底带蒂粘软骨膜（粘骨膜）瓣翻转法鼻中隔穿孔修补术是修补鼻中隔穿孔的良好方法。Objective To study the technique and evaluate the effect of repairing the nasal septum perforation by shifting the pediculate mucoperichondrial-mucoperiosteal flaps of nasal septum under nasal endoscope. Methods Twenty-one cases of nasal septum perforations were enrolled from January 2001 to December 2011. Nasal septum perforations were repaired by shifting the pediculate mucoperiehondrial-mucoperiosteal flaps of nasal septum and nasal floor under nasal endoscope. Results Twenty cases of all were repaired successfully. No recurrence was observed in the follow-up period of I to 3years. One case was failed. Conclusion It is efficient that the technique of repairing the nasal septum perforation by shifting the pediculate mucoperichondrial-mucoperiosteal flaps under nasal endoscope. The flaps of nasal septum and nasal floor are eligible materials for the mending of nasal septum perforation.

关 键 词：粘软骨膜(粘骨膜)瓣 鼻中隔穿孔 鼻内镜 

分 类 号：R765.3[医药卫生—耳鼻咽喉科]